Background: Neck contracture after burns is a major complication that affects\nfunction and cosmesis. The aim of covering the raw area and defects is\nthrough using good quality pliable skin. Full thickness skin graft allows a large\ndimension sheet of good quality skin with low donor-site morbidity. Also it\nprovides similar skin quality to the recipient areas with much less cosmetic\ndifference. Methods: Four men and eight women underwent neck contracture\nrelease and reconstruction from December of 2015 to August of 2016. Mean\npatient age was 29 years (range from 12 to 46 years). Burn scar contracture\nreleases were performed and cervicoplasty was added for optimal neck appearance.\nUniformly full thickness skin grafts were applied. Both lateral ends\nof these grafts (release incisions) were designed with a fishtail shape for sufficient\nrelease and to minimize linear scar band formation in the most lateral\nregion of the neck. Results: Full thickness skin grafts as large as 24 �± 12 cm\n(in length) and 10 - 15 cm (in width) were used. All grafts were taken without\nsignificant complications. Range of neck motion increased, and the cervico-\nmental angle was regained in all patients. A highly natural neck contour\nwas universally obtained without a secondary debulking procedure. Conclusions:\nFull thickness skin grafts for treatment of post burn neck contraction\ngive good functional and cosmetic results. They give similar color match and\ngood skin quality, also help in regaining of cervico-mental angle.
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