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Analysis Study Research Paper | Medical Surgical | India | Volume 12 Issue 5, May 2023
Aesthetic and Functional Restoration in Post Burn Neck Contracture
Dr. Nirmal Kumar Gupta [2] | Dr. Shalini Kulhari
Abstract: Background: A Burn contracture is an area of skin that has undergone excessive scarring as a result of healing. Contracture of the neck is an extremely disabling condition; the neck develops a fixed flexion deformity with restricted extension and rotation. In addition to neck, these can also affect the function of the lower face as well as result in possible tracheal alteration and distortion of the cervical spine. As these contracture affect the patient significantly causing both functional limitation and aesthetic disfigurements. The objectives of the surgical intervention are releasing of the scar, restoring neck movements, physical appearance, preventing recurrence of contractures and overall physical and mental health of the patient. Methods: The study was carried out in Department of plastic surgery, Super specialty hospital. The study was a retrospective study and includes the patients presented to the OPD and who underwent operative treatment after obtaining a written informed consent and ethical clearance. Result: Ten of our patients (86%) had acceptable neck function and cosmesis. We assessed function after rehabilitation 4 months postoperatively by the range of motion and also determined the aesthetic results by the presence of colour match (appearance of the graft by its colour) and absence of hypertrophy (neck movements). Conclusion: Excision of all scar tissue is possible in severe contractures, but incisional release is required in extensive contractures. Skin grafting is a simple, reliable, and safe operation, but has disadvantage of hypertrophy and recurrence of contracture.
Keywords: Contracture, STSG, Burn, Scar
Edition: Volume 12 Issue 5, May 2023,
Pages: 395 - 398