PMC6545751_01
Types of occipito-cervico flaps used in our cases: (a) occipito-cervico-dorsal flap and (b) occipito-cervico-shoulder flap.
CRIS2019-9879163.001.jpg
PMC6545751_01_CRIS2019-9879163.001.jpg
fig1
The flap was designed in a racquet shape (Figure 1(a)).
(a) Man, 29 years old, complete retraction with major impact on the extension of the neck, occipito-cervico-dorsal flap design, transposition to the cervical region, preliminary result. (b) Woman, 25 years old, minor retraction of the neck, occipito-cervico-shoulder flap design, transposition to the cervical region, preliminary result.
CRIS2019-9879163.002.jpg
PMC6545751_01_CRIS2019-9879163.002.jpg
fig2
However, the cervical-chin angle was not restored with a "neck-collar" appearance of the flap (Figure 2(a)). For the donor site, the scar was large and unsightly with persistence of a cutaneous "dog ear" at the base of the flap (Figure 2(a)) requiring surgical revision in two cases. The size of the OCS flap varied from 24 to 27 cm in length and from 7 to 8 cm in width (Figure 2(b)). As for the donor site flap (supraclavicular), we described a wide hypertrophic scar (Figure 2(b)), leading to a medium aesthetic appearance.