Pedicled fasciocutaneous flaps for correcting scar contracture in pediatric patients-a retrospective study of 22 cases

Background: Pediatric scar contractures in rapidly-growing regions require timely correction. Compared to flaps, skin grafts are characterized by scarring and retraction. More complex reconstructions are especially challenging in pediatric cases. Pedicled fasciocutaneous flaps are simple, durable, and able grow with the patient. Methods: A series of 22 pediatric burn scar cases, with an average age of 6 years, underwent treatment with pedicled fasciocutaneous flaps. They comprised 17 patients with scars involving the chest and axilla, and 5 patients with scars involving the groin and perineum. Results: Patient follow-up ranged from 3 months to 2 years, and included every patient. In total, 25 flaps were performed, comprising 4 lateral thoracic flaps, 5 superficial inferior epigastric artery flaps, and 16 scapular/expanded scapular flaps. Adjunctive skin grafts were used in 3 cases; the remaining 19 cases' donor sites were closed primarily. No flap loss or necrosis was observed. Conclusions: Pedicled fasciocutaneous flaps are robust treatment options for burn scar contractures. Accompanied by tissue expander, it can be raised to repair larger area of contracture. (C) 2016 Elsevier Inc. All rights reserved.