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Free thin anterolateral thigh flap for post-burn neck contractures - a functional and aesthetic solution
A Sarkar1, S Raghavendra1, M G Jeelani Naiyer1
1Department of Plastic & Reconstructive Surgery, IPGME&R, Kolkata, India.
Annals of Burns and Fire Disasters
|September 4, 2015
Summary
Free thin anterolateral thigh flaps offer a successful single-stage solution for neck contractures after burns. This reconstructive method significantly improves both function and aesthetics, leading to high patient satisfaction.
Area of Science:
- Plastic Surgery
- Burn Reconstruction
- Regenerative Medicine
Background:
- Neck contractures post-burn injury cause significant functional and aesthetic impairments.
- Existing reconstructive methods for cervical contractures often yield limited or unsatisfactory results.
- Free thin anterolateral thigh flaps present a promising option for single-stage neck reconstruction.
Purpose of the Study:
- To evaluate the efficacy of free thin anterolateral thigh flaps in reconstructing post-burn neck contractures.
- To assess functional and aesthetic outcomes following this reconstructive approach.
- To determine the complication rates and long-term success of this surgical technique.
Main Methods:
- Eleven patients with post-flame burn neck contractures underwent surgical release and reconstruction.
- Coverage was achieved using free thin anterolateral thigh flaps.
- Patients were followed for an average of five years, assessing functional and aesthetic rehabilitation.
Main Results:
- Flaps provided excellent coverage with good color match and contour on the anterior and lateral neck.
- No significant early or delayed complications were observed in most cases.
- High patient satisfaction with both functional and aesthetic outcomes was reported, despite two cases requiring reoperation for partial flap loss.
Conclusions:
- Free thin anterolateral thigh flaps are a viable and effective single-stage option for reconstructing post-burn cervical contractures.
- This technique offers good functional restoration and aesthetic results.
- The procedure demonstrates a favorable safety profile and high patient satisfaction in long-term follow-up.
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