Refining the Extended Circumflex Scapular Flap for Neck Burn Reconstruction: A 30-Year Experience

Neck burn sequelae remain a major challenge for the reconstructive surgeon. To achieve satisfactory functional and aesthetic results, the anterior neck aesthetic unit must be covered as a single unit. In cases where free flaps are required, harvesting a flap of sufficient size can cause major donor site morbidity. In 1994, we published our favorable 6-year experience reconstructing neck burn sequelae with an Extended Circumflex Scapular Flap (ECSF). We have since made several modifications to the technique that improve long-term functional and aesthetic results.

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