Related Experiment Videos
Reconstruction of Hemi Fascial Scars Using Expanded Transposition Flap of Neck
Kamran As'adi1, Hossein Salehi2
1Associate Professor of Plastic Surgery, St.Fatima Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
World Journal of Plastic Surgery
|July 13, 2026
Summary
Tissue expansion of neck skin provides a reliable method for reconstructing facial scars. This technique, using transposition flaps, offers excellent outcomes with minimal deformities and optimal scar appearance.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Dermatology
Background:
- Neck tissue expansion is a preferred method for facial scar reconstruction.
- It offers superior color and texture matching for improved aesthetic results.
Purpose of the Study:
- To evaluate the outcomes of hemifacial scar reconstruction using tissue-expanded transposition flaps from the ipsilateral neck.
- To assess the reliability and complication rates of this reconstructive technique.
Main Methods:
- Retrospective study of 42 patients.
- Utilized tissue-expanded transposition flaps from the ipsilateral neck for hemifacial scar reconstruction.
- Reviewed patient records for demographic data, surgical variables, and complications.
Main Results:
- The majority of scars (95.2%) were burn-induced.
- Most patients (92.9%) required a single expander, with a mean expansion duration of 115.86 days.
- Major complications occurred in 9.5% and minor complications in 14.3%, with extrusion and infection being most frequent.
Conclusions:
- Transferring expanded neck skin as a transposition flap is a dependable reconstructive approach.
- This technique enables complete resurfacing of hemifacial scars.
- It results in minimal contour deformities and optimal final scar appearance.
