Reconstruction of Hemi Fascial Scars Using Expanded Transposition Flap of Neck.

BACKGROUND

Neck tissue expansion is a widely accepted method for facial scar reconstruction due to its optimal color and texture match.

METHODS

This retrospective study evaluated outcomes in 42 patients who underwent hemifacial scar reconstruction using tissue expanded transposition flaps from the ipsilateral neck.

RESULTS

Patient records were reviewed for demographic data, surgical variables, and complications. The majority (95.2%) had burn-induced scars; a single expander was used in 92.9% of cases, while three patients required two expanders. The mean expansion duration was 115.86 days. Major complications occurred in 9.5% of patients, and minor complications in 14.3%; extrusion and infection were most common.

CONCLUSION

Transfer of expanded neck skin as transposition flap, is demonstrated to be a reliable reconstructive technique for complete resurfacing of hemifacial scars with minimal contour deformities and optimal final scar.