Literature DB >> 35582089

M Mahrouch1, O E Atiqui1, I Yafi1, O A Benlaassel1, S Zinedine1, M Geouatri1, M Sahibi1, M D Amrani1, Y Benchamkha1.   

Abstract

When their treatment is not optimal, deep cervical burns often develop retractions, ranging between simple vertical retractions to major global ones. They generate functional, aesthetic and psychological sequelae. Surgical treatment, adapted to both the patient and the type of retraction, has several goals including restoring the neck-chin angle, restoring a correct aesthetic aspect, and allowing social rehabilitation. In our unit, we managed 47 patients (mean age 22) with neck contractures over 8 years, from 2012-2020. Scald is more frequent in children while flame burns prevail in adults. Most (58%) patients healed spontaneously. Moderate and severe contractures (Achauer's classification) accounted for 30.6 and 38.8% respectively. In most (94%) patients, the contracture leads to a distortion of the neck-chin angle and limits the extension of the neck. Surgery techniques were skin grafts (67.3%), local plasties (24.5%) and flaps (8.2%). During the follow-up, results were considered as good in 83%, acceptable in 8.5%, while 8.5% needed another surgery. Plasties (Z, IC, VY…) and local flaps (with or without skin expansions) are indicated in minor contractures. Authors still debate on the best technique (graft or flap) for severe and major ones. Post-operative rehabilitation is a cornerstone for good results.
Copyright © 2022 Euro-Mediterranean Council for Burns and Fire Disasters.

Entities:  

Year:  2022        PMID: 35582089      PMCID: PMC9020855     

Source DB:  PubMed          Journal:  Ann Burns Fire Disasters        ISSN: 1592-9558


  8 in total

1.  [Not Available].

Authors:  N Chafiki; J Fassi Fihri; E H Boukind
Journal:  Ann Burns Fire Disasters       Date:  2007-03-31

2.  Postburn contracture of the neck--our experience with a new dynamic extension splint.

Authors:  S Bhattacharya; S K Bhatnagar; R Chandra
Journal:  Burns       Date:  1991-02       Impact factor: 2.744

3.  Rebuilding the cervico-mandibular angle--correcting a deformity of neck burns.

Authors:  M Mimoun; J M Kirsch; J M Faivre; S Baux
Journal:  Burns Incl Therm Inj       Date:  1986-04

4.  [Post-burn cervical retractions: 45 cases and a survey of the literature].

Authors:  D Elamrani; A Zahid; N Aboujaafr; M Diouri; N Bahechar; E H Boukind
Journal:  Ann Burns Fire Disasters       Date:  2011-09-30

5.  [30 cases of cervical sequelae of burns: morphological types and special technical points].

Authors:  F Vandenbussche; J Vandevord; B Decoopman; P Decoulx
Journal:  Ann Chir Plast       Date:  1978

6.  The use of skin grafts in postburn contracture release: a 10-year review.

Authors:  F C Iwuagwu; D Wilson; F Bailie
Journal:  Plast Reconstr Surg       Date:  1999-04       Impact factor: 4.730

7.  A classification system for postburn mentosternal contractures.

Authors:  Ifeanyichukwu Igwilo Onah
Journal:  Arch Surg       Date:  2005-07

8.  Management of postburn contracture of the neck.

Authors:  S Nath; K Erzingatsian; S Simonde
Journal:  Burns       Date:  1994-10       Impact factor: 2.744

  8 in total

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