Abstract
Neck reconstruction for cervical scar contracture after burn injuries often takes priority over other areas. The ideal material for coverage of defects created by neck contracture release is thin, supple, large well vascularized healthy tissue. We present here our experience of seven cases of postburn neck scar contracture release and reconstruction with free parascapular flap cover. Patients and Methods: Seven adult females, 18-44 year age group, 6-15 months postburn, total body surface area 20-60% burns, moderate to severe contractures limited to the most visible anterior aspect of the neck were reconstructed with free parascapular flap. Results: All flaps survived with good aesthetic and functional mobility. Donor sites were closed primarily in all patients. Conclusion: Parascapular free flap reconstruction of postburn neck contracture is reliable and effective method. It provides large supple skin flap with good color match for esthetic and functional reconstruction of postburn neck scar contracture.
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