Özet:

Purpose: The neck skin defects usually occur after contractual exacerbation or malign/benign tumor exhaustion. Frequently used neck skin reconstruction methods are Z-plastics, skin pedicular or perforator fleets and free fleets. In addition to these, pre-expanse perforator skin flapes are often used in skin defect reconstructions. The expansion of skin flakes provides more tissue for reconstruction and repair of the donor area. It also gives good results in terms of reconstruction, color and structure compatibility with the close tissue of defects. In this study, 7 patients were assessed with skin defects in length, including congenital giant necklace ejaculation and 1 after opening necklace contracture. All defects were repaid with a total of 11 preexpanse oksipito-serviko-dorsal island flebi. The widest flep size was 9x23 cm, the double flep size was 5x13 cm. The patient's average age was 15.8 and the average expansion time was 11.5 weeks. The results: Patients were followed for an average of 27.8 months. One patient was exposed to tissue expansion, while another patient saw 50% flep necrosis. In all patients, the aesthetic and functional results were acceptable levels. Result: Preekspanse oksipito-serviko-dorsal flep is a suitable reconstruction option that can be used in mid-size neck defects. The defined flep has been presented as a new reconstructive method that can be applied in patients with inappropriate front cervical and cervical skin and dorsal cervical-dorsal skin strong.