Free Tissue Transfer in the Reconstruction of Neck Contractures after Burn Injury: A Case Series

Background: Recent advances in burn care have significantly improved the survival rate of patients with extensive injuries, placing greater emphasis on reconstruction to improve long-term outcomes scar deformities. Anterior and lateral neck contractures are common after injuries; they limit range motion, complicate airway management create significant cosmetic Traditional methods been used release function. However, subject variable results, residual tightness, recurrence suboptimal appearance. Microvascular free tissue transfer is a more technically challenging time-consuming method, but it offers potential overcome limitations simpler options. In this paper, we present our experience microvascular flaps for as high-quality permanent solution. Methods: Over 10-year period, nine were performed total body surface area (TBSA) burns between 20 70%, who developed moderate severe contractures. Four anterolateral thigh (ALT) flaps, four radial forearm (RFFFs) one ulnar flap Results: All completed successfully improvement neck’s motion. Good aesthetic results achieved smooth contour thin coverage. Overall, satisfied. five out cases required at least secondary procedure defatting reach optimal results. Conclusion: Post-burn cervical region compromise appearance security recovering patients, imposing impact their psychological functional quality life. Consequently, can be prioritized when planning patients. Free considered an important reliable method contracture deformity following injuries.