Original Articles
To Evaluate the Ideal Surgical Method for Management of Post Burn Scar Contracture of Neck: An Institutional Based Study | |
Ashish Kumar Goyal, Sachin Khandelwal, Krishna Murari, Karan Koul | |
Background: Post burn neck contractures not only affect the movements of the neck, but also can affect the function of the lower face as well as result in possible tracheal alteration and distortion of the cervical spine. Hence; the present study was undertaken for assessing the ideal surgical method for management of post burn scar contracture of neck. Materials & Methods: 30 patients of post burn neck contracture who underwent operative treatment were included. Surgical planning was done. The lines of contracture and proposed incisions were marked on the patient pre-operatively. Incisional or excisional release was done till full extension was obtained and the defect was created by dissection through the scar to underlying normal tissue. Skin graft was the mainstay of treatment. Recording of the range of movement and condition of the recipient and donor sites was done. The results were assessed graded in the follow up period. All the results were recorded and analysed by SPSS software. Results: Method of release was excisional in 63.33 percent of the cases. Resurfacing with split thickness skin graft was done in 80 percent of the subjects. Poor Color match, graft hypertrophy and re-contracture were encountered in 6.67 percent, 3.33 percent and 13.33 percent of the subjects respectively. Good results were encountered in 70 percent of the patients. Conclusion: Excision of all scar tissue is feasible in severe contractures, but incisional release is recommended in extensive contractures. |
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