Jerome Terrence Jose, Sabtharishi Vanathi, Sk Thirumagal
Orthopaedics, Hand and Reconstructive Microsurgery, Olympia Hospital and Research Centre, Trichy, IND.
Department of Microbiology, K.A.P.Viswanatham (KAPV) Government Medical College, Trichy, IND.
Cureus. 2021 Jan 25;13(1):e12910. doi: 10.7759/cureus.12910.
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.
颈部对于所有头部运动和日常功能活动至关重要。导致前颈部挛缩的二度深层真皮和全层烧伤会限制运动，如果不进行治疗，会出现口腔、眼睛、姿势以及下巴生长发育方面的畸形，尤其是在儿童中。颈部挛缩会导致脊柱后凸侧弯、下唇闭合不全，从而影响视力、平衡、吞咽、进食和言语，还会带来社会耻辱感、抑郁和尴尬。烧伤后前颈部挛缩的治疗方法包括挛缩松解和使用皮肤移植（分层皮片和全厚皮片）、轴型皮瓣、穿支螺旋桨皮瓣、游离微血管皮瓣、组织扩张、预制皮瓣和皮肤替代物进行重建。除了功能和美观恢复外，术后社会和职业康复对儿童也至关重要。我们报告了一名10岁男孩，患有严重的烧伤后前颈部挛缩，采用单侧锁骨上皮瓣治疗，剩余区域采用分层皮片移植。
