Plastic treatment of scar contractures of neck with Filatov pedicle flap in children
Shchipacheva, V.I.
Acta Chirurgiae Plasticae 17(1-2): 49-55
1975
ISSN/ISBN: 0001-5423 PMID: 51560 Document Number: 87589
Scars in the face, the neck and the upper limb, which have developed as a result of 3-4 degree burns are of a keloid character and not only severely disfiguring, but also limit head movements, impede speech, facial movements and food intake and mastication. In order to prevent secondary deformation of soft tissues and bones of the face from developing, surgical treatment should be started as soon as possible. In severe contractures in children, when the scars have occupied the anterior and lateral aspects of the neck, reaching into depths and are of a keloid character, skin plasty using 1 or 2 Filatov pedicle flaps is indicated. The flap is incorporated with 1 pedicle and at the final stage spread out, its subcutaneous fat partly excised, and then sutured to the wound in a transverse position. Such an operation was carried out in 6 children with fully satisfactory results. The skin of the flaps incorporated on the neck grows in size in accordance with the child's growth.