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Published on: December 5, 2025
[Expanded deltopectoral flaps for treatment of cervical cicatricial contracture]
Xian-jie Ma1, Pai Peng, Yan Zheng
1Institute of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, No. 15 Chang Le Xi Lu, Xi'an 710032, China.
Objective:
To investigate the application of expanded deltopectoral flaps for treatment of cervical cicatricial contracture.
Methods:
The cervical cicatricial contracture was corrected in 18 cases with unilateral expanded deltopectoral flaps and 2 cases with bilateral expanded deltopectoral flaps. The size of scar ranged from 8 cm x 5 cm to 12 cm x 13 cm. The size of the unilateral expanded deltopectoral flaps ranged from 9 cm x 16 cm to 12 cm x 18 cm. The defects in donor sites were closed directly. The infraclavicula incision was designed. The flaps were delayed 3 weeks after flap transfer. The pedicle was cut off 4 weeks later.
Results:
From 2007 to 2009, 20 cases with cervical cicatricial contracture were treated with expanded deltopectoral flaps. All the flaps were survived. 6 cases were followed up for 6 months with satisfactory results in 5 cases and conspicuous scar in 1 case.
Conclusions:
Expanded deltopectoral flap is very suitable for large size of cervical cicatricial contracture.
