ALT free flap as a crucial tool in management of post burn neck contracture | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 12 December 2021 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2021.92794.1116 | ||
| Authors | ||
| khaled mohammad Abdel Azeem* 1; Mostafa Fathy Ibrahim2; Adel Mayhoob3; emad Mohammed Hwas4 | ||
| 1Plastic Surgery Department – Faculty of Medicine, Beni-Suef University- Beni-Suef, Egypt. | ||
| 2General Surgery Department, Beni Suef University. | ||
| 3Plastic Surgery Department – Faculty of Medicine, Beni-Suef University- Beni-Suef -Egypt | ||
| 4Plastic and Reconstructive Surgery department, faculty of medicine, Beni Suef University | ||
| Abstract | ||
| Contractures of the neck following burn injuries result in a restricted range of motion and an unattractive appearance. While various reconstruction techniques have been used to treat this condition, a minimal and unsatisfactory outcome is frequently achieved. Free flaps have been found to be an excellent single-stage alternative for neck contracture reconstruction following burns. This study was conducted at the Plastic Surgery Departments, Al-Hussien & Bab Elsheria Hospital, Faculty of Medicine, Alazhar University (Cairo) and Plastic Surgery Department, Faculty of Medicine, Beni – Suef University to evaluate the use of free Antero-lateral thigh flaps in terms of functional, aesthetic outcome, technical difficulties, and donor site morbidity. Between January 2017 and May 2018, this study evaluated ten patients with postburn neck contractures. The results indicated that the recipient site had an improved functional and aesthetic outcome. Also the ALT flap has a long vascular pedicle that may reach up to seventeen centimerter in length. Additionally, the ALT flap allows for a two-team approach and avoids shifting the patient's location during surgery. Limitations of flap usage are the variable anatomy of its vascular pedicle, bulkiness of the flap which necessitates secondary surgery for flap debulking, needs meticulous dissection of the pedicle and limited width of the flap. in conclusion the ALT flap is a good option for post burn neck contracture management. | ||
| Keywords | ||
| Post-burn contractures of neck; Contractures of anterior cervical area; Free flaps; ALT flap | ||
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