Medial Neck and Submandibular Scar Contractures: Anatomy and Treatment

  • Viktor M. Grishkevich
  • Max Grishkevich


Midline neck contracture is caused by scars that spread from the chin to the sternal manubrium and involve the submental and submandibular regions. The contractures can spread on the face and chest wall. The scars are often thick and rough and present a functional, as well as severe cosmetic, defect. In terms of treatment, the most important task is restoration of the surface with well-matched skin from the remaining neck skin on the lateral surfaces. Therefore, lateral neck skin undergoes expansion, even though the technique can be complicated by skin necrosis. After establishing that the anterio-lateral neck skin has axial blood supply, the middle contracture can be released with neck split flaps from the neck lateral surfaces. Stable blood circulation allows mobilization of healthy skin that does not damage axial vessels and transposition on the anterior neck with tension. This method of reconstruction and results are presented in this chapter.


Middle neck contractures Anatomy and classification Flaps for neck contractures Split neck flap Reconstruction 

Suggested Readings

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    Grishkevich VM. Unilateral cervical burn scar deformity elimination with contralateral cervicothoracic flap. J Burn Care Res. 2012;33:e26–31.CrossRefPubMedGoogle Scholar
  2. 2.
    Grishkevich VM, Max G, Menzul VA. Postburn neck anterior contracture treatment in children with scar-fascial local trapezoid flaps: a new approach. J Burn Care Res. 2015;36:e112–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Viktor M. Grishkevich
    • 1
  • Max Grishkevich
    • 2
  1. 1.Happy ValleyUSA
  2. 2.VIP MediSpaClackamasUSA

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