Réparation des séquelles de brûlure du cou

Abstract

Sequelae of cervical burn can be severe and responsible for post-burn deformities such as cervical retraction. Surgical reconstruction of post-burn deformities is difficult. The surface of the skin used for cervical reconstruction depends on the burn extent, and must be of the same quality than native skin in terms of coloration, texture and elasticity. Many reconstructive techniques exist (thick skin graft, local flaps, expanded thick skin graft, expanded flap), selected according to the lesion. All must respect the anatomic units of the neck. The purpose of this work is to explain the surgical procedures and its indications. Our personal experience makes us using the technique of skin expansion which showed optimal results in terms of coloration, texture and elasticity for neck reconstruction. Following a review of the different surgical techniques and their specific indications, some clinical cases are presented as illustration. It should be reminded that such surgery is somewhat tricky and must always be associated with adapted rehabilitation.