Reconstruction of Hemi Fascial Scars Using Expanded Transposition Flap of Neck

Background: Neck tissue expansion is a widely accepted method for facial scar reconstruction due to its optimal color and texture match Methods: This retrospective study evaluated outcomes in 42 patients who underwent hemifacial scar reconstruction using tissue expanded transposition flaps from the ipsilateral neck.Results: Patient records were reviewed for demographic data, surgical variables, and complications.The majority (95.2%) had burn-induced scars; a single expander was used in 92.9% of cases, while three patients required two expanders.The mean expansion duration was 115.86 days.Major complications occurred in 9.5% of patients, and minor complications in 14.3%; extrusion and infection were most common Conclusion: Transfer of expanded neck skin as transposition flap, is demonstrated to be a reliable reconstructive technique for complete resurfacing of hemifacial scars with minimal contour deformities and optimal final scar.