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 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 ].