Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-06-24T20:12:29 RDF description of Latissimus dorsi myocutaneous flap reconstruction of neck and axillary burn contractures - http://repository.healthpartners.com/individual/document-rn18374 document-rn18374 1 public Child Axilla/*injuries/surgery Esthetics 16764 *Developing Countries 11092 Suture Techniques Contracture/*surgery 105 2022-02-21T22:48:57.408-06:00 <p>Neck and axillary burn contractures are both a devastating functional and cosmetic deformity for patients and a challenging problem for reconstructive surgeons. Severe contractures are more commonly seen in the developing world, a result of both the widespread use of open fires and the inadequacy of primary and secondary burn care in these vicinities. When deep burns are allowed to heal spontaneously, patients develop hypertrophic scarring of the neck and axillary areas. The back is typically spared, however, remaining a suitable donor site. We have used nine latissimus dorsi myocutaneous flaps in a total of six patients, finding the flaps effective in resurfacing both the neck and the axillary regions after wide release of burn contractures. Before flap mobilization, surgical neck release is often necessary to ensure safe, effective control of the airway in patients with significant neck contractures. Flap bulkiness in the anterior neck region can eventually be reduced by dividing the thoracodorsal nerve. Anchoring the skin paddle to its recipient site through the placement of tacking sutures will also help achieve a more normal anterior neck contour.<p> Neck Injuries/*surgery Burns/*surgery Reoperation Treatment Outcome 10.1097/00006534-200001000-00005 Plastic and Reconstructive Surgery Cicatrix, Hypertrophic/*surgery *Surgical Flaps Latissimus dorsi myocutaneous flap reconstruction of neck and axillary burn contractures Follow-Up Studies