A 45-year-old male with severe torticollis of the neck due to post-burn contracture on the left side of the neck underwent contracture release and resurfacing of the defect using a flap about 12cm × 8cm. Not only was the entire contracture released completely, the color and texture match provided was quite good []. The donor site was closed primarily. At the 18-month follow-up visit, the flap had maintained its aesthetic and functional qualities and the patient was very happy [Figures and ].
A 35-year-old male patient with severe keloidal scarring of the cervico-mental region was our most recent patient. We placed two rectangular expanders on both sides []. After excision of the scar, supraclavicular flaps were raised on both sides. The right flap measured 14cm × 7cm and the left flap measured 16cm × 14cm. Using the standard procedure, the defect was resurfaced with the right flap positioned cranially and the left flap placed caudally. The distal 2-3cm of the upper (right) flap necrosed [] but could be covered with a split skin graft. The cervico-mental definition was achieved and neck extension up to 150 degrees was seen [].