ASSESSMENT OF SURGERY COMPLICATIONS TO REPAIR POST BURN SCAR CONTRACTURE OF NECK WITH CERVICODELTOID FLAP

Background: Neck scar contracture is an important complication of burns and still represents a
major challenge for plastic surgeons .This study was aimed to assess the surgical procedures used
to reconstruction of the neck scar contracture and their complications by cervicodeltoid flap in
Urmia, Iran, 2015.
Methods: This observational descriptive study was conducted on 25 patients (7 males, 18 females)
with a mean age of 31.80 years who had post burn scar contracture of neck. These patients
undergone operation under general anesthesia then scar released and cervicodeltoid flap was
performed.
Results: In all of the patients, successful release of the contractures was achieved without any
complication or recurrence of the contractures in the follow-up period. The most complications of
flap included hematoma in 3 patients (12%), seroma in 2 patients (8%), infection in zero patient
(0%), flap loss in zero patient (0%) and suture dehiscence in zero patient (0%), ischemia and
necrosis of end flap in 5 patients (20%).
Conclusion: According to the results, in the application of cervicodeltoid flap, there is no necessary
to have skin grafts for the area which the flap is taken, and the flap will solve the problem of
dynamic constraint depending on the patient’s condition including the age, location and expanse of
the scar in neck and thus our results showed less side effects