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Post-burn neck contracture: effectively managed with supraclavicular artery flap
1Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan.
Annals of Burns and Fire Disasters
|May 21, 2020
Summary
The supraclavicular artery island (SAI) flap effectively reconstructs neck defects after burn contracture release. This method offers good functional and aesthetic outcomes with minimal complications.
Area of Science:
- Plastic Surgery
- Burn Reconstruction
- Microsurgery
Background:
- Post-burn neck contractures cause significant functional and aesthetic issues.
- Reconstruction of neck soft tissue defects is crucial for patient recovery.
Purpose of the Study:
- To evaluate the supraclavicular artery island (SAI) flap for neck reconstruction post-burn contracture release.
- To assess the efficacy and safety of SAI flaps in this context.
Main Methods:
- A study involving 31 SAI flaps in 28 patients undergoing neck reconstruction.
- Exclusion criteria included prior neck irradiation, trauma, or bleeding disorders.
- Patients were followed for 3 months postoperatively.
Main Results:
- Low complication rates: 3.2% complete flap necrosis, 6.4% distal necrosis.
- 1 (3.2%) case of postoperative hematoma and 2 (6.4%) cases of wound dehiscence.
- Successful primary closure of the donor site in 81% of cases.
Conclusions:
- The supraclavicular artery flap is a viable and effective option for reconstructing neck soft tissue defects.
- It provides acceptable skin match and restores function with few major complications.
- SAI flap offers impressive recovery for patients with post-burn neck contractures.
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