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Related Experiment Videos

Expanded shoulder flap in burn sequela.

M F Almeida1

  • 1Division of Plastic Surgery, Hospitals Prontocor and Mater Dei, Belo Horizonte, Minas Gerais, Brazil.

Acta Chirurgiae Plasticae
|November 6, 2001
PubMed
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The expanded shoulder flap offers a novel surgical solution for burn-related neck scarring. This technique effectively releases contractures and improves cosmetic outcomes using a single shoulder donor site.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Cervical retraction following burns presents a significant reconstructive challenge.
  • Existing methods for treating cervical contractures may have limitations in terms of coverage and cosmetic results.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of the expanded shoulder flap for treating cervical retraction secondary to burns.
  • To present a detailed description of the expanded shoulder flap technique, including its anatomical basis and surgical procedure.

Main Methods:

  • The expanded shoulder flap, based on the transverse cervical artery, was utilized.
  • Tissue expanders were placed with specific incision and detachment parameters, and the valve positioned infraclavicularly.
  • A phased infiltration protocol was followed to achieve adequate flap expansion (2-3 times the defect size).

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Main Results:

  • The expanded shoulder flap successfully covered large cervical defects in all 12 treated patients.
  • The technique allowed for both release of retraction and replacement of scarred cervical skin with improved aesthetic quality.
  • Donor site closure was achieved without tension, resulting in good quality scars, and no flap delays were reported.

Conclusions:

  • The expanded shoulder flap is a viable and effective alternative for managing burn-related cervical retraction.
  • This method provides excellent functional and aesthetic results, utilizing a single, well-vascularized donor site.