case_images: PMC5012087_01
case_images: A photo of the patient before reconstruction, showing postburn scars and contractures. (a) Neck in neutral position. (b) Neck in extended position.
case_images: 41038_2014_20020088_Fig1.jpg
case_images: PMC5012087_01_41038_2014_20020088_Fig1.jpg
case_images: Fig1
case_images: 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].
case_images: 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.
case_images: 41038_2014_20020088_Fig2.jpg
case_images: PMC5012087_01_41038_2014_20020088_Fig2.jpg
case_images: Fig2
case_images: 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].
case_images: A photo of the patient after reconstruction, showing a satisfactory esthetic result. (a) Neck in neutral position. (b) Neck in extended position.
case_images: 41038_2014_20020088_Fig3.jpg
case_images: PMC5012087_01_41038_2014_20020088_Fig3.jpg
case_images: Fig3
case_images: As shown in Figure 3, these procedures achieved a satisfactory cosmetic result in terms of skin contouring, despite minimal scar hypertrophy.