Double free flaps for reconstruction of postburn anterior cervical contractures - Use of perforator flaps from the lateral circumflex femoral system

1. Introduction
Anterior cervical contracture causes considerable problems including restricted range of motion and poor appearance. The reconstructive methods (skin grafs, Z-plasties and local flaps, etc.) have different limitations to their clinical application, and even recontracture that needs repeated surgical release [1], [2], [3]. Free flaps have the benefits of replacement for contracture scars with soft, pliable tissue [4], [5], [6]. This report presents a case of postburn cervical contractures reconstructed with an anterolateral thigh (ALT) and a tensor fascia lata (TFL) cutaneous perforator flap simultaneously. The combined use of these two flaps provides (1) one-stage procedure; (2) a larger skin territory for reconstruction; (3) primary closure of donor sites; (4) soft, pliable and thin tissues for resurfacing burn contractures; and (5) good aesthetic and functional results.