A 38-year-old female with a cervicomental contracture on the left side of the neck [] was given the option of release with split skin grafting or expansion of the left supraclavicular area. After due considerations she opted for the latter. A 15cm × 6cm × 5.5cm rectangular 500 cc tissue expander was placed beneath the left supraclavicular area and expanded to 750 cc. An expanded flap measuring 18cm × 15cm was used to resurface the final defect [].\nHer post-operative recovery was uneventful. She later developed a contracture band at the medial inset that was not part of the original contracture but had developed as a result of straight line closure. This was released with Z-plasty under local anesthesia. At the 20-month follow-up visit, this patient had good color, texture match, and neck extension of more than 150 degrees [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 [].