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M Mahrouch1, O E Atiqui1, I Yafi1

  • 1Service de Chirurgie Reconstructrice, Plastique et Brûlé, CHU Mohammed VI, Marrakech, Maroc.

Annals of Burns and Fire Disasters
|May 18, 2022
PubMed
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Deep cervical burns can cause significant neck contractures, impacting function and appearance. Surgical interventions, including skin grafts and local flaps, offer good to acceptable outcomes in most patients, emphasizing the importance of post-operative rehabilitation.

Area of Science:

  • Plastic Surgery
  • Burn Management
  • Reconstructive Surgery

Context:

  • Deep cervical burns frequently result in contractures, leading to functional, aesthetic, and psychological issues.
  • Neck contractures significantly distort the neck-chin angle and limit neck extension in the majority of patients.
  • The study analyzed 47 patients with neck contractures treated between 2012 and 2020, with a mean age of 22.

Purpose:

  • To evaluate surgical treatment outcomes for deep cervical burn contractures.
  • To identify patient demographics and burn characteristics associated with contracture development.
  • To assess the effectiveness of various surgical techniques and the role of rehabilitation.

Summary:

  • Surgical techniques included skin grafts (67.3%), local plasties (24.5%), and flaps (8.2%).

Related Experiment Videos

  • Moderate and severe contractures (Achauer's classification) were observed in 30.6% and 38.8% of patients, respectively.
  • Overall, 83% of patients achieved good results, 8.5% acceptable results, and 8.5% required revision surgery.

    • Impact:

    • Surgical treatment effectively restores the neck-chin angle and improves aesthetics, facilitating social rehabilitation.
    • While minor contractures benefit from plasties and local flaps, the optimal technique for severe contractures remains debated.
    • Post-operative rehabilitation is crucial for achieving optimal functional and aesthetic outcomes in patients with neck contractures.