The Development and Management of Neck Burn Scar Contracture Recurrence: A Single-Center Retrospective Cohort Study

April 2024 in “ Journal of burn care & research ”

Jorge Arellano, Tiffany Jeong, Mario Alessandri‐Bonetti, Sumaarg Pandya, Hilary Liu, Guy M. Stofman, Francesco M. Egro

neck burn scar contracture contracture recurrence burn treatment neck defect size total body surface area post-operative follow-up

TLDR Neck burn scar contracture recurrence is more likely with larger neck defects, and closer follow-up can help detect it sooner.

This retrospective cohort study at the University of Pittsburgh Medical Center reviewed the long-term outcomes of neck burn scar contracture (BSC) treatments in 51 patients treated between April 2009 and December 2022. The study found that 39.2% (20 patients) developed neck BSC after initial burn treatment, with an average of 3.4 surgeries per patient. Contracture recurrence (CR) occurred in 28.9% of cases, and a significant difference was noted in the average neck defect size between patients with CR (198.5±108.3 cm²) and those without (81.1±75.1 cm²). Total body surface area (TBSA) was not associated with CR, indicating that neck defect size is a more critical factor. The study suggests that closer post-operative follow-up may reduce the time to clinical presentation of CR.

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