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Abstract Reconstruction of postburn contractures of the neck confronts the surgeons with some of the most challenging problems in reconstructive surgery. Many methods have been advocated to reconstruct neck contractures, including Z-plasties, split-thickness skin grafts, full thickness skin grafts, local or pedicled skin flaps with or without tissue expanders, and free flaps. Our study aimed to compare the outcomes of resurfacing of postburn neck contractures with two free flaps; Para-Scapular free flap and free Antero-lateral thigh flap considering functional, aesthetic outcome, technical difficulties and donor site morbidity. This study was conducted in the period from January 2017 to May 2018 for 20 patients with postburn neck contractures. The patients had been randomly classified into 2 groups, group (A) patients were resurfaced by free Anterolateral Thigh flap group (B) patients were resurfaced by Parascapular free flap. Both ALT and Parascapular free flaps, showed improved functional and aesthetic outcome at recipient site. Moreover, Parascapular free flap has better aesthetic outcome regarding donor site scar and required secondary procedures for debulking less than free ALT flap. On the other hand, ALT flap favors two teams approach and avoid changing position of the patient during surgery. |