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A treatment strategy for postburn neck reconstruction: emphasizing the functional and aesthetic importance of the cervicomental angle.

Publication ,  Journal Article
Zhang, YX; Wang, D; Follmar, KE; Yang, J; Ong, YS; Messmer, C; Coan, B; Erdmann, D; Qian, Y; Levin, LS
Published in: Ann Plast Surg
December 2010

The authors describe an algorithm for reconstruction of both the soft tissue and skeletal components of severe postburn neck deformities. The critical functional and aesthetic importance of the cervicomental angle is emphasized. The neck is subdivided into 3 anatomic subunits: (1) lower lip/chin subunit, (2) submental subunit, and (3) anterior neck subunit. After release of contractures, platysmaplasty is performed to prevent recurrence and to deepen the cervicomental angle. In cases where chin retrusion is present, sliding genioplasty is performed. The 3 subunits are resurfaced individually by skin grafts and free flaps. The combined scapular and parascapular bilobed free flap is an ideal flap for cases involving 2 subunits. Fifty patients with severe postburns neck contractures were treated. After excision and release of scar, 47 (94%) patients underwent platysmaplasty, and 12 (24%) patients underwent sliding genioplasty. Defects were covered with skin grafts alone in 20 (40%) patients, with free flaps only in 22 (44%) patients, and with a combination of skin grafts and free flaps in 8 (16%) patients.

Duke Scholars

Published In

Ann Plast Surg

DOI

EISSN

1536-3708

Publication Date

December 2010

Volume

65

Issue

6

Start / End Page

528 / 534

Location

United States

Related Subject Headings

  • Young Adult
  • Surgical Flaps
  • Surgery
  • Skin Transplantation
  • Recurrence
  • Plastic Surgery Procedures
  • Neck Muscles
  • Neck Injuries
  • Neck
  • Middle Aged
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Zhang, Y. X., Wang, D., Follmar, K. E., Yang, J., Ong, Y. S., Messmer, C., … Levin, L. S. (2010). A treatment strategy for postburn neck reconstruction: emphasizing the functional and aesthetic importance of the cervicomental angle. Ann Plast Surg, 65(6), 528–534. https://doi.org/10.1097/SAP.0b013e3181cc29e7
Zhang, Yi Xin, Danru Wang, Keith E. Follmar, Jun Yang, Yee Siang Ong, Caroline Messmer, Brian Coan, Detlev Erdmann, Yunliang Qian, and L Scott Levin. “A treatment strategy for postburn neck reconstruction: emphasizing the functional and aesthetic importance of the cervicomental angle.Ann Plast Surg 65, no. 6 (December 2010): 528–34. https://doi.org/10.1097/SAP.0b013e3181cc29e7.
Zhang YX, Wang D, Follmar KE, Yang J, Ong YS, Messmer C, et al. A treatment strategy for postburn neck reconstruction: emphasizing the functional and aesthetic importance of the cervicomental angle. Ann Plast Surg. 2010 Dec;65(6):528–34.
Zhang, Yi Xin, et al. “A treatment strategy for postburn neck reconstruction: emphasizing the functional and aesthetic importance of the cervicomental angle.Ann Plast Surg, vol. 65, no. 6, Dec. 2010, pp. 528–34. Pubmed, doi:10.1097/SAP.0b013e3181cc29e7.
Zhang YX, Wang D, Follmar KE, Yang J, Ong YS, Messmer C, Coan B, Erdmann D, Qian Y, Levin LS. A treatment strategy for postburn neck reconstruction: emphasizing the functional and aesthetic importance of the cervicomental angle. Ann Plast Surg. 2010 Dec;65(6):528–534.

Published In

Ann Plast Surg

DOI

EISSN

1536-3708

Publication Date

December 2010

Volume

65

Issue

6

Start / End Page

528 / 534

Location

United States

Related Subject Headings

  • Young Adult
  • Surgical Flaps
  • Surgery
  • Skin Transplantation
  • Recurrence
  • Plastic Surgery Procedures
  • Neck Muscles
  • Neck Injuries
  • Neck
  • Middle Aged