Reconstruction of Postburn Mild Anterior Neck Contracture With a Free Thin Anterolateral Thigh Flap

Anjana Malhotra; Urvi Ashok Shah; Sourabh Shankar Chakraborty; Dhaval Baraiya; Shrikrishna Prasad Shetty; Shylesh Ramesh Babu; Puja Bhaurao Dandekar

doi:10.1097/PSN.0000000000000420

Reconstruction of Postburn Mild Anterior Neck Contracture With a Free Thin Anterolateral Thigh Flap

Plast Aesthet Nurs (Phila). 2022 Jan-Mar;42(1):39-42. doi: 10.1097/PSN.0000000000000420.

Authors

Anjana Malhotra^{1

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7}, Urvi Ashok Shah^{1

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7}, Sourabh Shankar Chakraborty^{1

2

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7}, Dhaval Baraiya^{1

2

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7}, Shrikrishna Prasad Shetty^{1

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3

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7}, Shylesh Ramesh Babu^{1

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7}, Puja Bhaurao Dandekar^{1

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7}

Affiliations

¹ Anjana Malhotra, MS, MCh, DNB (Plastic), is Chief Specialist & HOD, Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, India.
² Urvi Ashok Shah, MS, DNB (Plastic), is Contractual Medical Practitioner, Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, India.
³ Sourabh Shankar Chakraborty, DNB (ENT), MCh (Plastic), is Senior Resident (Non-acad), Department of Plastic Surgery, South Eastern Railway Central Hospital, West Bengal, Kolkata, India.
⁴ Dhaval Baraiya, MS (Surg), is Senior Resident (Acad), Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, India.
⁵ Shrikrishna Prasad Shetty, MS (Surg), is Senior Resident (Acad), Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, India.
⁶ Shylesh Ramesh Babu, MS (Surg), is Senior Resident (Acad), Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, India.
⁷ Puja Bhaurao Dandekar, MS (Surg), is Senior Resident (Acad), Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, India.

PMID: 36450074
DOI: 10.1097/PSN.0000000000000420

Abstract

In this article, we describe reconstruction of a McCauley's Grade I postburn anterior neck contracture with extensive scarring in a 34-year-old woman using a free thin anterolateral thigh (ALT) flap. To our knowledge, this is the first case of reconstruction of Grade I neck contracture using a thin ALT flap that has been reported. By selecting the correct patient, adhering to recommended standards of microvascular technique, and implementing appropriate postoperative nursing care, we achieved a near-normal neck contour in this patient in a single-staged procedure.

Publication types

Case Reports

MeSH terms

Adult
Contracture* / etiology
Female
Free Tissue Flaps*
Humans
Lymphoma, Follicular*
Neck / surgery
Thigh / surgery
Torticollis*