Pedicled thoracodorsal artery perforator flap for reconstruction of post burn contracted neck

Abstract

Background: The thin and pliable skin of the neck is a region with multidirectional activity, and postburn contractures forms there easily. Different methods of reconstruction were described. In our study the thoracodorsal artery perforator flap (TDAP) is used to reconstruct the post burn contracted (PBC) neck. Its main vascular supply is the thoracodorsal artery, and can be harvested as an island flap. Aim of the work: to evaluate the aesthetic and function outcome of TDAP flap as a new technique for reconstruction of PBC neck. Patients and Methods: this study included a total of 10 TDAP flaps. Were studied prospectively for their efficacy in reconstruction of PBC neck in 10 patients. Also donor site morbidity, patient satisfaction, and complications were evaluated. Between November of 2017 and January of 2019, this study was preceded by preserved cadaveric dissection. All were island flaps. The range of flap size was 18 ± 5 cm in length, and 9 ± 2 cm in width. Primary closure of donor site was performed in all cases. Results: 8 of the 10 flaps survived completely, two cases of distal necrosis not exceeding 2 cm (20%), and no total flap necrosis. Most of the patients were satisfied with both the functional and aesthetic results. Conclusion: PBC neck affects function, and appearance. In our view, the island TDAP flap is a good option for neck resurfacing regarding a wide arc of rotation, a relatively larger flap dimensions, a reliable pedicle length, and acceptable donor site morbidity