PMC5012087_01
A photo of the patient before reconstruction, showing postburn scars and contractures. (a) Neck in neutral position. (b) Neck in extended position.
41038_2014_20020088_Fig1.jpg
PMC5012087_01_41038_2014_20020088_Fig1.jpg
Fig1
A 10-year-old boy presented to our unit with significant scars, keloids, and contractures in his anterior chest and neck that were formed secondary to burn injuries 4 years ago [Figure 1].
A photo of the elevating of the expanded flap, showing the occipital arteries and the envelope flap raised on a narrow isthmus with occipital arteries marked on it. (a) The expanded flap raised on a narrow isthmus with occipital arteries marked on it. (b) The envelope formed around the expander.
41038_2014_20020088_Fig2.jpg
PMC5012087_01_41038_2014_20020088_Fig2.jpg
Fig2
Under general anaesthesia in the prone position, the shape of the flap was designed in a way to match the recipient site and the occipital arteries were identified and marked on the skin using a portable Doppler ultrasound machine [Figure 2].
A photo of the patient after reconstruction, showing a satisfactory esthetic result. (a) Neck in neutral position. (b) Neck in extended position.
41038_2014_20020088_Fig3.jpg
PMC5012087_01_41038_2014_20020088_Fig3.jpg
Fig3
As shown in Figure 3, these procedures achieved a satisfactory cosmetic result in terms of skin contouring, despite minimal scar hypertrophy.