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

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