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Supraclavicular Flap for Severe Post-burn Neck Contracture in Children

The neck is essential and vital for all head movements and performing daily functional activities. The second-degree deep dermal and full-thickness burns causing anterior neck contracture restricts movement and if untreated develop deformities, in the oral cavity, eyes, posture, and chin growth and...

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Detalles Bibliográficos
Autores principales: Jerome, Terrence Jose, Sabtharishi, Vanathi, SK, Thirumagal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7905012/
https://www.ncbi.nlm.nih.gov/pubmed/33654595
http://dx.doi.org/10.7759/cureus.12910
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author Jerome, Terrence Jose
Sabtharishi, Vanathi
SK, Thirumagal
author_facet Jerome, Terrence Jose
Sabtharishi, Vanathi
SK, Thirumagal
author_sort Jerome, Terrence Jose
collection PubMed
description The neck is essential and vital for all head movements and performing daily functional activities. The second-degree deep dermal and full-thickness burns causing anterior neck contracture restricts movement and if untreated develop deformities, in the oral cavity, eyes, posture, and chin growth and development, especially in children. Neck contracture results in kyphoscoliosis, lower lip seal resulting in impaired vision, balance, swallowing, feeding, and speech as well as social stigma, depression, and embarrassment. The treatment for post-burn anterior neck contractures is contracture release and reconstruction with skin grafts (split and full-thickness), axial pattern flaps, perforator propeller flaps, microvascular free flaps, tissue expansion, prefabrications, and skin substitutes. In addition to functional and esthetic recovery, post-surgery social and vocational rehabilitation is essential for children. We report a ten-year-old boy with severe anterior neck post-burn contracture managed with unilateral supraclavicular flap and residual areas with a split-thickness skin graft.
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spelling pubmed-79050122021-03-01 Supraclavicular Flap for Severe Post-burn Neck Contracture in Children Jerome, Terrence Jose Sabtharishi, Vanathi SK, Thirumagal Cureus Pediatric Surgery The neck is essential and vital for all head movements and performing daily functional activities. The second-degree deep dermal and full-thickness burns causing anterior neck contracture restricts movement and if untreated develop deformities, in the oral cavity, eyes, posture, and chin growth and development, especially in children. Neck contracture results in kyphoscoliosis, lower lip seal resulting in impaired vision, balance, swallowing, feeding, and speech as well as social stigma, depression, and embarrassment. The treatment for post-burn anterior neck contractures is contracture release and reconstruction with skin grafts (split and full-thickness), axial pattern flaps, perforator propeller flaps, microvascular free flaps, tissue expansion, prefabrications, and skin substitutes. In addition to functional and esthetic recovery, post-surgery social and vocational rehabilitation is essential for children. We report a ten-year-old boy with severe anterior neck post-burn contracture managed with unilateral supraclavicular flap and residual areas with a split-thickness skin graft. Cureus 2021-01-25 /pmc/articles/PMC7905012/ /pubmed/33654595 http://dx.doi.org/10.7759/cureus.12910 Text en Copyright © 2021, Jerome et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pediatric Surgery
Jerome, Terrence Jose
Sabtharishi, Vanathi
SK, Thirumagal
Supraclavicular Flap for Severe Post-burn Neck Contracture in Children
title Supraclavicular Flap for Severe Post-burn Neck Contracture in Children
title_full Supraclavicular Flap for Severe Post-burn Neck Contracture in Children
title_fullStr Supraclavicular Flap for Severe Post-burn Neck Contracture in Children
title_full_unstemmed Supraclavicular Flap for Severe Post-burn Neck Contracture in Children
title_short Supraclavicular Flap for Severe Post-burn Neck Contracture in Children
title_sort supraclavicular flap for severe post-burn neck contracture in children
topic Pediatric Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7905012/
https://www.ncbi.nlm.nih.gov/pubmed/33654595
http://dx.doi.org/10.7759/cureus.12910
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