Abstract
Being an open part of the body, the neck often suffers burns. Restricted head motion and apparent cosmetic defects are indications for reconstruction. Rehabilitation is aimed at releasing the contracture as part of skin surface restoration. The skin of the neck has specific characteristics that distinguish it from skin of other body areas. Therefore, after restoration, poorly matched grafted skin resembles patches, and this poses a difficult cosmetic challenge. In many cases, burns and scars only damage part of the anterior neck surface; in such cases, local healthy tissues can be used for reconstruction first. Types of neck scar contractures are based on scar location and the extent of neck surface involvement. Having studied more than 250 patients, we developed the classification system discussed in this chapter.
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Grishkevich VM, Iudenich AA. Postburn deformations of neck and correction with cervico-thoracic adipose-cutaneous flaps. Khirurgiia (Mosk). 1985;5:45–8.
Yudenich VV, Grishkevich VM. Handbook of rehabilitation of burned. Moscow: Medicina; 1986. Ch. 5. p. 143–6.
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Grishkevich, V.M., Grishkevich, M. (2018). Postburn Neck Scar Contracture Classification. In: Plastic and Reconstructive Surgery of Burns. Springer, Cham. https://doi.org/10.1007/978-3-319-78714-5_9
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DOI: https://doi.org/10.1007/978-3-319-78714-5_9
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