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Published on: September 12, 2025
693
[Surgical strategy for postburn cervical scar contracture].
Shaoqing Feng1, Weijie Su1, Wenjing Xi1
1Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China.
Summary
Surgical strategies for postburn cervical scar contracture focus on restoring the cervicomental angle. Skin flap reconstruction is preferred over skin grafting to prevent contracture recurrence.
Area of Science:
- Plastic Surgery
- Burn Reconstruction
- Scar Management
Background:
- Postburn cervical scar contracture significantly impacts neck mobility and aesthetics.
- Effective surgical strategies are crucial for restoring function and appearance.
Purpose of the Study:
- To investigate optimal surgical approaches for treating postburn cervical scar contracture.
- To evaluate the efficacy of different reconstructive techniques.
Main Methods:
- Sixty-five patients underwent scar release and platysma manipulation based on anatomical subunits.
- Surgical reconstruction involved local, adjacent, or free skin flaps, or skin grafts.
- Genioplasty with horizontal osteotomy was performed in cases of chin retrusion.
Main Results:
- All reconstructive procedures were successful, achieving a cervicomental angle of 90-120°.
- Flap coverage demonstrated no contracture recurrence, while skin grafts showed some recurrence.
- All patients achieved a good range of neck motion post-surgery.
Conclusions:
- Restoring the cervicomental angle is critical in managing cervical scar contracture.
- The subunit principle guides scar release, and flap coverage is superior to skin grafting for preventing recurrence.