Cervical Tubing Planning and Procedure Methods

Cervical Tubing is a surgical procedure done to cover defects of ear. When surrounding flaps are out of options in burns patient , due to scarring , lack of blood supply , this flap comes into use and holds good option. Main drawback is its a staged procedure upto 5 or even more .

Ear deformity picture with loss of subunits of Ear

Cervical Tubing incision marking and flap raising technique

Neck neutral is marked that is the poserior border of sternomastoid muscle - two ends of the neck.

For example 15cm is the total length , its divided into three parts - 5cm each.

Half of 5cm is the flap width that survives. 2.5cm is the width
that is marked by two parallel incision on both 5cm parts of the lateral neck.

Cervical tubing - Final Stage Part one of Five stage

Flap raised above the platysma plane , flap is undermined above and below .
Flap is now attached at the mid 5cm. Incision are sutured back.
Flap is sutured as a tube .