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 ].
An 18 year-old female presented with a post-burn scar over her left cheek. We expanded her left supraclavicular area with a cylindrical expander to resurface the cheek scar. Though the expander migrated beyond the shoulder cap region in the post-insertion period, we went ahead with the surgery. A flap measuring 10cm × 6cm was harvested. The flap did not bleed well on the table and showed ischemic changes immediately after the operation. We lost the flap in its entirety. The resulting defect was later covered with a split-thickness skin graft.