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Bilobed flap in the release of postburn mentosternal contracture
1National Orthopaedic Hospital, Igbobi, Lagos, Nigeria.
Plastic and Reconstructive Surgery
|February 1, 1989
Insights
Bilobed flaps offer a practical solution for releasing postburn mentosternal contractures, especially in pediatric patients. This technique provides excellent results where other methods are challenging.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Postburn mentosternal contractures significantly impair neck and upper extremity mobility.
- Conventional surgical release methods may be limited by patient factors or resource availability.
Observation:
- The use of bilobed flaps was evaluated for the surgical release of postburn mentosternal synaechia.
- This reconstructive technique was applied in a clinical setting.
Findings:
- Bilobed flaps proved to be a handy and effective method for releasing mentosternal contractures.
- The technique yielded very good cosmetic and functional results.
Implications:
- This approach is particularly valuable for pediatric cases requiring contracture release.
- It offers a viable alternative in centers lacking resources for complex free-skin flap procedures.
Abstract:
We have described in brief detail our experience with bilobed flaps in the release of postburn mentosternal synaechia. We have found this method handy, and it gives very good results. We reckon that this method has a prominent place in the release of this contracture, particularly in children who cannot provide adequate free-skin flaps for revascularization and in centers where the procedure is technically impossible.