WORLD JOURNAL OF PLASTIC SURGERY
Wed, Feb 18, 2026
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1- 1. Associate Professor of Plastic Surgery, St Fatima Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran , dr.kamran.asadi@gmail.com
2- 2. Department of Surgery, Ali-Ibn Abi-Talib Hospital, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
2- 2. Department of Surgery, Ali-Ibn Abi-Talib Hospital, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
Abstract: (204 Views)
Background: Neck tissue expansion is a widely accepted method for facial scar reconstruction due to its optimal color and texture match
Methods: This retrospective study evaluated outcomes in 42 patients who underwent hemifacial scar reconstruction using tissue expanded transposition flaps from the ipsilateral neck.
Results: Patient records were reviewed for demographic data, surgical variables, and complications. The majority (95.2%) had burn-induced scars; a single expander was used in 92.9% of cases, while three patients required two expanders. The mean expansion duration was 115.86 days. Major complications occurred in 9.5% of patients, and minor complications in 14.3%; extrusion and infection were most common
Conclusion: Transfer of expanded neck skin as transposition flap, is demonstrated to be a reliable reconstructive technique for complete resurfacing of hemifacial scars with minimal contour deformities and optimal final scar.
Methods: This retrospective study evaluated outcomes in 42 patients who underwent hemifacial scar reconstruction using tissue expanded transposition flaps from the ipsilateral neck.
Results: Patient records were reviewed for demographic data, surgical variables, and complications. The majority (95.2%) had burn-induced scars; a single expander was used in 92.9% of cases, while three patients required two expanders. The mean expansion duration was 115.86 days. Major complications occurred in 9.5% of patients, and minor complications in 14.3%; extrusion and infection were most common
Conclusion: Transfer of expanded neck skin as transposition flap, is demonstrated to be a reliable reconstructive technique for complete resurfacing of hemifacial scars with minimal contour deformities and optimal final scar.
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