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Related Experiment Video

Updated: Jun 3, 2025

Porcine As a Training Module for Head and Neck Microvascular Reconstruction
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Cervical Defect Reconstruction Using Preexpanded Neck Flaps Transferred in a Scarf-wrapping Manner.

Xinyue Dai1, Zixuan Zhang, Mengqing Zang

  • 1Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Shijingshan, Beijing, P.R. China.

The Journal of Craniofacial Surgery
|January 9, 2025
PubMed
Summary

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This study introduces a scarf-wrapping technique using preexpanded cervical flaps for neck contracture repair. The method successfully reconstructed defects, offering a like-with-like solution with high patient satisfaction.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Burn Scar Management

Background:

  • Cervical burn scar contractures pose reconstructive challenges.
  • Traditional methods like skin grafts and flaps have limitations.
  • Preexpanded cervical flaps offer potential for like-with-like reconstruction but require optimized transfer techniques.

Purpose of the Study:

  • To introduce and evaluate a novel scarf-wrapping technique for transferring preexpanded cervical flaps.
  • To address limitations of simple advancement flap transfers in neck defect repair.
  • To achieve optimal outcomes in reconstructing cervical scar contractures.

Main Methods:

  • A two-stage surgical approach involving expander implantation and subsequent flap transfer.
  • Expanders were placed above the platysma muscle, inflated, and then removed.
Keywords:
Cervical flapneck scar contracturepreexpanded flapscarf-wrappingtissue expansion

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  • Preexpanded flaps were rotated in a scarf-wrapping manner to repair neck defects and close donor sites.

    • Main Results:

    • Successfully reconstructed neck defects in 24 patients (grades I and II contractures).
    • All flaps survived without perfusion complications.
    • Achieved an average improvement of 29.25 degrees in the cervico-mental angle with high patient satisfaction.

    Conclusions:

    • The scarf-wrapping transfer of preexpanded cervical flaps is an effective method for reconstructing cervical scar contractures.
    • This technique provides a like-with-like reconstruction for grade I and II contractures.
    • The method demonstrates high success rates and patient satisfaction.