Para-scapular free flap versus free antero-lateral thigh flap (ALT) for resurfacing of post burn neck contractures
Mostafa, M., Elsayed, G., El Naggar, A., Ayad, W. (2022). Para-scapular free flap versus free antero-lateral thigh flap (ALT) for resurfacing of post burn neck contractures. EKB Journal Management System, 3(1), 401-410. doi: 10.21608/ejmr.2022.229359
Mohamed Hatem Mostafa; Gamal M. Elsayed; Abdel Nasser El Naggar; Wael Ayad. "Para-scapular free flap versus free antero-lateral thigh flap (ALT) for resurfacing of post burn neck contractures". EKB Journal Management System, 3, 1, 2022, 401-410. doi: 10.21608/ejmr.2022.229359
Mostafa, M., Elsayed, G., El Naggar, A., Ayad, W. (2022). 'Para-scapular free flap versus free antero-lateral thigh flap (ALT) for resurfacing of post burn neck contractures', EKB Journal Management System, 3(1), pp. 401-410. doi: 10.21608/ejmr.2022.229359
Mostafa, M., Elsayed, G., El Naggar, A., Ayad, W. Para-scapular free flap versus free antero-lateral thigh flap (ALT) for resurfacing of post burn neck contractures. EKB Journal Management System, 2022; 3(1): 401-410. doi: 10.21608/ejmr.2022.229359

Para-scapular free flap versus free antero-lateral thigh flap (ALT) for resurfacing of post burn neck contractures

Egyptian Journal of Medical Research
Article 31, Volume 3, Issue 1, January 2022, Page 401-410  XML PDF (434.22 K)
Document Type: Original Article
DOI: 10.21608/ejmr.2022.229359
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Authors
Mohamed Hatem Mostafa1; Gamal M. Elsayed1; Abdel Nasser El Naggar1; Wael Ayad2
1Plastic and Reconstructive Surgery department, Faculty of Medicine, Beni-Suef University, Egypt
2Plastic and Reconstructive Surgery department, Faculty of Medicine, Al-Azhar University, Egypt
Abstract
The aim of this study is to compare the outcomes of resurfacing of postburn neck contractures with two free flaps; Para-Scapular free flap and free Antero-lateral thigh flap considering functional, aesthetic outcome, technical difficulties and donor site morbidity. Free flaps have been found to be a good single stage option for reconstruction of post-burn contractures of the neck. This is a prospective randomized comparative study that has been conducted in the period from January 2017 to May 2018 for 20 patients with postburn neck contractures. The patients have been randomly classified into 2 groups; group (A) patients were resurfaced by free anterolateral Thigh flap group (B) patients were resurfaced by parascapular free flap. Results revealed improved functional and aesthetic outcome at recipient site. Moreover, Parascapular free flap has better aesthetic outcome regarding donor site scar and required secondary procedures for debulking less than free ALT flap. On the other hand, ALT flap favors two teams’ approach and avoid changing position of the patient during surgery.
Keywords
Burn; neck contractures; anterolateral thigh flap; parascapular free flap
References
    1. Sinha, I, Zhu D, Ojomo, K, Gfrerer L, Sawh-Martinez, R, Patel, A, Chan, RK and Watkins JF. Functional and subjective assessment of burn contracture release in a mission setting. Burns. 2016; 42, 466–470.
    2. Devi, S.R., Kalita, H., Baishya, J., Boruah, P. et al. Functional and esthetic considerations in reconstruction of post-burn contracture of the neck. Indian J. Burn. 2013; 21, 58.
    3. Margulis A, Agam K, Icekson M, Dotan L, Yanko-Arzi R, Neuman R. The expanded supraclavicular flap, prefabricated with thoracoacromial vessels, for reconstruction of postburn anterior cervical contractures. Plast Reconstr Surg. 2007 Jun; 119(7):2072-7.
    4. Khan NU, Amin MM, El-Muttaqi A, Tayyaba FU, Sajid M, Javed L, Ayesha. Supraclavicular artery island flap reconstruction for post burn neck contractures. Pak J Surg 2012; 28(1):76-80.
    5. Sharma, R.K., and others. Post-burn neck contracture: Should the skin graft be banished. Indian J. Burn. 2013; 21, 48.
    6. Zhang YX, Wang D, Follmar KE, Yang J. et al. A Treatment Strategy for Postburn Neck Reconstruction Emphasizing the Functional and Aesthetic Importance of the Cervicomental Angle. Ann Plast Surg. 2010; 65: 528–534.
    7. Goel A. and Shrivastava P. Post-burn scars and scar contractures. Indian J Plast Surg. 2010 Sep; 43(Suppl): S63–S71.
    8. Albarah A, Kishk T, Megahed M, Elsakka D and Ghareeb F.
Pre-expanded extended island parascapular flap for reconstruction of post-burn neck contracture. Ann. of burns and fire disasters 2010 Mar 31; 23(1):28-32.
    9. Acartürk TO. Aesthetic Reconstruction of the Postburn Neck Contracture With a Preexpanded Anterolateral Thigh Free Flap. J. Craniofac. Surg. 2014; 25, e23-e26.
    10. Dorfman, D., and Pu, L.L.Q. The value of color duplex imaging for planning and performing a free anterolateral thigh perforator flap. Ann. Plast. Surg. 2014; 72, S6-S8.
    11. Mitsimponas, KT, Iliopoulos C, Stockmann P, Bumiller L. et al. The free scapular/parascapular flap as a reliable method of reconstruction in the head and neck region: a retrospective analysis of 130 reconstructions performed over a period of 5 years in a single department. J. Cranio-Maxillofacial Surg. 2014; 42, 536–543.
    12. Sarkar A, Raghavendra S, Jeelani Naiyer MG, Bhattacharya D. et al. Free thin anterolateral thigh flap for post-burn neck contracture – a functional and aesthetic solution. Ann Burns Fire Disasters. 2014 Dec 31;27(4):209-14.
    13. Izadi D, Paget J, Haj-Basheer M and Khan U. Fasciocutaneous flaps of the subscapular artery axis to reconstruct large extremity defects. Journal of Plastic, Reconstructive & Aesthetic Surgery 2012; 65, 1357-1362.
    14. Lopez CE, Ferro A. Primary reconstruction fanterior neck burns with free flaps. Br J Plast Surg. 2005 Jan;58(1):102-5.
    15. Busnardo FF, Coltro PS, Olivan MV, Faes JC. et al. Anatomical comparison among the anterolateral thigh, the parascapular and the lateral arm flaps. Microsurgery. 2015 Jul;35(5):387-92. 16- Klinkenberg M, Fischer S, Kremer T, Hernekamp F. et al. Comparison of Anterolateral Thigh, Lateral Arm, and Parascapular Free Flaps with Regard to Donor-Site Morbidity and Aesthetic and Functional Outcomes Plast Reconstr Surg. 2013 Feb;131(2):293-302.
    16. Fischer S, Klinkenberg M, Behr B, Hirsch T, Kremer T. et al. Comparison of Donor-Site Morbidity and Satisfaction between Anterolateral Thigh and Parascapular Free Flaps in the Same Patient. J Reconstr Microsurg. 2013 Oct; 29(8):537-44.
    17. Song B, Xiao B, Liu C, He L, Li Y, Sun F. et al. Neck burn reconstruction with pre-expanded scapular free flaps. Burns 2015; 41, 624–630.
 

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