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Iranshahr University of Medical Sciences, Sistan Baluchestan, Iran
Abstract:   (522 Views)
Deformities of burn scars in chin and upper neck are a tragedy for patients and pose a great challenge to plastic surgeons due to limited available methods for reconstruction of three-dimensional appearance. In this study, we presented a new technique for correction of cervicomental angle with a dermal fat flap.
Fourteen patients aged from 18 to 24 years old with extensive neck deformities were enrolled. During the operation, first de-epithelialization of a triangular scar area in the upper neck was undertaken. Then a dermal fat flap was created and was flipped up to the chin to restore the chin shape and volume. For subsequent reconstruction of cervicomental angle, after releasing skin from lateral sides of the triangle defect, the AB and AC line was approximated to the upper edge of the defect by V-Y advancement. The remaining defect was covered with a full-thickness skin graft.
In all cases, the chins were reshaped with a dermal fat flap. The mean cervicomental angle was 144±14.6° preoperatively, that was reduced to 108.9±6.15°, postoperatively. The neck and chin preserved better contours.
This new technique has not been described in the literature and it is innovative compared to the traditional techniques. Good cosmetic outcomes make this technique preferable for all burn neck deformities with obtunded cervicomental angle
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Type of Study: Original Article | Subject: Special
Received: 2019/11/6 | Accepted: 2020/04/13 | Published: 2020/04/13