[Effects of Microbial Fertilizer on Physicochemical Properties and Bacterial Communities of Saline Soil Under Brackish Water Irrigation].

The improvement of saline soil with microbial fertilizer has numerous advantages including high efficiency, green environmental protection, etc. At the same time, applying microbial fertilizer is an effective way to safely use brackish water. Based on the moderately saline soil in the Hetao irrigation area, four treatments of F1 (4500 kg·km-2), F2 (7500 kg·km-2), F3 (10500 kg·km-2), and CK without microbial fertilizer were applied under brackish water irrigation using Lycium barbarum as the indicator plants. The aim was to study the effects of different microbial fertilizer application rates on soil ions, soil moisture content, pH value, nutrients, and bacterial community in four key growth stages of L. barbarum (flowering stage, fruit expansion stage, full fruit stage, and deciduous stage). The results showed that, compared with that in CK, F1 only significantly decreased Na+ content in the first two growth stages (P<0.05), whereas F2 and F3 significantly decreased Na+ content in the whole growth period (P<0.05), with an average reduction of 33.66% and 57.98%, respectively, and F3 significantly increased soil moisture content (MC), organic matter (OM), alkaline hydrolysis nitrogen (AN), and available phosphorus (AP) contents (P<0.05) during the whole growth period. In the flourishing period of L. barbarum, the Shannon index of F3 increased by 4.41% compared with that of CK. The dominant bacterial phyla in the soil were Proteobacteria, Bacteroidetes, and Actinobacteria, and the dominant bacterial genera were Sphingomonas and Pseudomonas. The most abundant functions of bacterial communities in the study area were chemoheterotrophy and aerobic chemoheterotrophy, with an average relative abundance of 15.07% and 13.16%, respectively. The application of microbial fertilizer increased the chitinolysis function and chloroplast functions of soil bacteria, which F2 increased to the highest degree. Canonical correlation analysis (CCA) showed that MC, Na+, and OM were important factors affecting the composition of the bacterial community. The correlation heat map showed that MC was positively correlated with Planctomycetes (P<0.01), and Gp6 was positively correlated with AN (P<0.01). Compared with that in CK, the F3 treatment increased the relative abundance of Gp6 and optimized the community structure during the growth period. In conclusion, the application of 10500 kg·km-2 microbial fertilizer (F3 treatment) under brackish water irrigation could significantly reduce soil salinity, increase nutrients, and improve the diversity of the soil bacterial community structure, which is conducive to the safe utilization of brackish water and the maintenance of soil ecological health.

Corrigendum: NanoSIMS analysis of water content in bridgmanite at the micron scale: an experimental approach to probe water in Earth's deep mantle.

[This corrects the article DOI: 10.3389/fchem.2023.1166593.].

NanoSIMS analysis of water content in bridgmanite at the micron scale: An experimental approach to probe water in Earth's deep mantle.

Water, in trace amounts, can greatly alter chemical and physical properties of mantle minerals and exert primary control on Earth's dynamics. Quantifying how water is retained and distributed in Earth's deep interior is essential to our understanding of Earth's origin and evolution. While directly sampling Earth's deep interior remains challenging, the experimental technique using laser-heated diamond anvil cell (LH-DAC) is likely the only method available to synthesize and recover analog specimens throughout Earth's lower mantle conditions. The recovered samples, however, are typically of micron sizes and require high spatial resolution to analyze their water abundance. Here we use nano-scale secondary ion mass spectrometry (NanoSIMS) to characterize water content in bridgmanite, the most abundant mineral in Earth's lower mantle. We have established two working standards of natural orthopyroxene that are likely suitable for calibrating water concentration in bridgmanite, i.e., A119(H2O) = 99 ± 13 µg/g (1SD) and A158(H2O) = 293 ± 23 µg/g (1SD). We find that matrix effect among orthopyroxene, olivine, and glass is less than 10%, while that between orthopyroxene and clinopyroxene can be up to 20%. Using our calibration, a bridgmanite synthesized by LH-DAC at 33 ± 1 GPa and 3,690 ± 120 K is measured to contain 1,099 ± 14 µg/g water, with partition coefficient of water between bridgmanite and silicate melt ∼0.025, providing the first measurement at such condition. Applying the unique analytical capability of NanoSIMS to minute samples recovered from LH-DAC opens a new window to probe water and other volatiles in Earth's deep mantle.

[Effects of Phosphogypsum and Suaeda salsa on the Soil Moisture, Salt, and Bacterial Community Structure of Salinized Soil].

The improvement of saline soil is an important issue that cannot be ignored in the farmland soil environment. The change in soil salinity will inevitably affect the soil bacterial community. This experiment was based on moderately saline soil in the Hetao Irrigation Area, conducted by applying phosphogypsum (LSG), interplanting Suaeda salsa with Lycium barbarum (JP) and applying phosphogypsum and interplanting S. salsa with L. barbarum (LSG+JP),and the local unimproved soil of a L. barbarum orchard was used as the control (CK), to explore the effects of different improvement methods on soil moisture, salinity, nutrients, and bacterial community structure diversity during the growth period of L. barbarum. The results showed that compared with that under CK, the LSG+JP treatment significantly decreased the soil EC value and pH value from the flowering stage to the deciduous stage (P<0.05), with an average decrease of 39.96% and 7.25%, respectively; the LSG+JP treatment significantly increased soil organic matter (OM) and available phosphorus (AP) content during the whole growth period (P<0.05), with an average annual increase of 81.85% and 203.50%, respectively. The total nitrogen (TN) content was significantly increased in the flowering and deciduous stages (P<0.05), with an annual average increase of 48.91%. The Shannon index of LSG+JP in the early stage of improvement was increased by 3.31% and 6.54% compared with that of CK, and the Chao1 index was increased by 24.95% and 43.26% compared with that of CK, respectively. The dominant bacteria in the soil were Proteobacteria, Bacteroidetes, Actinobacteria, and Acidobacteria, and the dominant genus was Sphingomonas. Compared with that in CK, the relative abundance of Proteobacteria in the improved treatment increased by 0.50%-16.27% from the flowering stage to the deciduous stage, and the relative abundance of Actinobacteria in the improved treatment increased by 1.91%-4.98% compared with that in CK in the flowering and full-fruit stages. Redundancy analysis (RDA) results showed that pH, water content (WT), and AP were important factors affecting bacterial community composition, and the correlation heatmap showed that Proteobacteria, Bacteroidetes, and EC values were significantly negatively correlated (P<0.001); Actinobacteria and Nitrospirillum were significantly negatively correlated with EC values (P<0.01). In conclusion, the application of phosphogypsum and interplanting S. salsa with L. barbarum (LSG+JP) could significantly reduce soil salinity, increase nutrients, and improve the diversity of soil bacterial community structure, which is beneficial to the long-term improvement of saline soil in the Hetao Irrigation Area and the maintenance of soil ecological health.

The formulation of irrigation and nitrogen application strategies under multi-dimensional soil fertility targets based on preference neural network.

With the aim of improving soil fertility, it is of great significance to put forward optimal irrigation and nitrogen fertilizer application strategies for improving land productivity and alleviating non-point source pollution effects. To overcome this task, a 6-hidden layer neural network with a preference mechanism, namely Preference Neural network (PNN), has been developed in this study based on the field data from 2018 to 2020. PNN takes soil total nitrogen, organic matter, total salt, pH, irrigation time and target soil depth as input, and irrigation amount and nitrogen application rate (N rate) as output, and the prior preference matrix was used to adjust the learning of weight matrix of each layer. The outcomes indicated that the predictive accuracy of PNN for irrigation amount were (R2 = 0.913, MAE = 0.018, RMSE = 0.022), and for N rate were (R2 = 0.943, MAE = 0.009, RMSE = 0.011). The R2 predicted by PNN at the irrigation amount and N rate were 40.03% to more than 99% and 40.33% to more than 99% higher than those obtained using support vector regression (SVR), linear regression (LR), logistic regression (LOR) and traditional back propagation neural network (BPNN), respectively. In addition, compared with the neural network (Reverse Multilayer Perceptron, RMLP) with the same structure but no preference structure, the R2 of the predicted irrigation amount and N rate by PNN increased by 25.81% and 27.99%, respectively. The results showed that, through the irrigation of 93 to 102, 92 to 98 and 92 to 98 mm, along with nitrogen applications of 65 to 71, 64 to 73 and 72 to 81 kg/hm2 at 17, 59 and 87 days after sowing, respectively, the organic matter, total nitrogen, total salt content and pH of the soil would reach high fertility levels simultaneously.

Effects of straw mulching combined with nitrogen application on soil organic matter content and atrazine digestion.

To explore the response of atrazine (AT) degradation rate, soil organic matter (SOM) distribution and the relationship between them to straw mulching and nitrogen application, field experiments were conducted to study the distribution of SOM content and AT degradation rate under different straw returning modes combined with nitrogen fertilization in 2 years in Hetao Irrigation District. No (N0), low (NL), medium (NM), and high (NH) levels of N fertilization were incorporated into the soil combined with the surface coverage straw (Treatment BN0, BNL, BNM, BNH, respectively) and the deeply buried straw (Treatment SN0, SNL, SNM, SNH, respectively). The traditional cultivation was used as a control treatment (Treatment CK). The results showed that SOM content of Treatment B was accumulated in 0~20 cm soil layer. The largest SOM content of Treatments B in 0~20 cm soil layer was found in BNH treatment, with an average increase of 14.2% and 24.1% significantly when compared with those in CK and SNH (P < 0.05), respectively. The SOM content of Treatments B increased with the increase of nitrogen application and decreased with the deepening of soil depth. The SOM content of Treatment S was accumulated in the soil layer (20~40 cm and 40~60 cm) near the inter-layer. With the increase of nitrogen application and depth of soil layer, the SOM content increased firstly and then decreased. SNM had the largest SOM content in the soil layer of 20~40 cm and 40~60 cm, with an average increase of 82.6% and 67.7% when compared with Treatment CK (P < 0.05). In the soil layer over 60 cm, there was no significant difference in SOM content of different straw returning methods under the same nitrogen level (P > 0.05). Straw returning methods and nitrogen application level significantly affected AT digestion rate and digestion half-life, with significant differences among treatments (P < 0.05). It found that treatment SNM had the highest digestion rate and the shortest half-life of AT. Compared with Treatment CK, the digestion rate of Treatment SNM was increased by 5.3% on average, and the half-life was shortened by 3.9 days on average. Single regression and stepwise regression analysis of the half-life of AT degradation and SOM content in different soil layers (0~20 cm and 20~40 cm) showed that the degradation of AT was greatly affected by SOM content of 20~40 cm soil layer. Based on the comprehensive analysis, the effect of straw deep burial combined with medium nitrogen application rate (Treatment SNM) was best, which could achieve the goal of increasing SOM content and shortening the half-life of AT digestion. The research provided a technical support for straw resource utilization, alleviated AT pollution and improved farmland ecological environment in Hetao Irrigated District.

[Temporal and Spatial Variation Characteristics and Driving Factors of Nitrogen of Shallow Groundwater in Hetao Irrigation District].

As an important food production area in the north of China, the Hetao plain is extremely vulnerable to nitrate pollution caused by agricultural production activities and additional factors. Thus, it is of great significance for the environmental protection and rational use of groundwater to detect the current situation of groundwater nitrate pollution, temporal and spatial evolution characteristics, and main influencing factors in the Hetao irrigation district. We selected the Wualte irrigation area as the study area, and the characteristics of temporal and spatial changes in groundwater nitrate concentration and the main influencing factors in this area were explored. We used statistical analysis to analyze the nitrogen content of groundwater in the study area, and the Piper three-line diagram was used to explore the characteristics of chemical composition and evolution; furthermore, we used ion ratio and correlation analysis methods to explore the source of NO3--N in groundwater. The results showed that NO3--N was the main existing form of nitrogen in the Wulate irrigation area, and its concentration varied from 0.01 to 60.00 mg·L-1, with an exceeding standard rate of 10.50%. In terms of time, the characteristic of time change was that the NO3--N concentration in August of groundwater was the highest (average 6.61 mg·L-1), followed by that in October (6.22 mg·L-1) and November (6.25 mg·L-1), and that in March (average value of 1.77 mg·L-1) was the lowest. With the influence of rainfall and irrigation, the NO3--N in the soil was infiltrated into the groundwater, showing the characteristic that wet season and concentrated irrigation periods were higher than those in other periods. Spatially, it appeared as southwest (8.87 mg·L-1)>northwest (4.25 mg·L-1)>east (0.89 mg·L-1), mainly due to the original geological conditions, land use, and domestic waste stacking. In addition, the concentration of NO3--N of groundwater in the study area was closely related to the depth of groundwater and redox conditions but was relatively less affected by the concentration of water chemical ions. Therefore, identifying the temporal and spatial distribution characteristics and main sources of groundwater nitrogen pollution can provide a scientific basis for scientific fertilization, groundwater nitrate pollution control, and water safety.

[Effects of Straw Mulching and Nitrogen Reduction on the Distribution of Soil Nitrogen and Groundwater Nitrogen Pollution].

To explore the effects of straw mulching and reduced nitrogen fertilization on the temporal and spatial patterns of soil nitrogen, groundwater nitrogen pollution, and summer maize yield, field experiments were carried out in the Hetao irrigation district in 2017 and 2018. The experiment involved the following seven treatments:a control (CK) treatment involving conventional fertilization and traditional tillage, and conventional nitrogen applications reduced by 30% (N1), 20% (N2), and 10% (N3) coupled with either straw surface covering (B) or deep straw burial (S). The results showed that the distribution of soil nitrogen in the CK treatment varied depending on soil depth, with an overall decreasing trend. In the 0-20 cm soil layer under straw surface covering (B) treatments, soil nitrogen was superficially accumulated. NO3--N and NH4+-N content increased by an average of 22.2% and 42.7% compared to the CK treatment, respectively, which decreased significantly at first and then increased slightly with depth. In the 20-40 cm deep soil layer under the deep straw burial (S) treatments, soil nitrogen accumulated and the content of NO3--N and NH4+-N increased by an average of 29.8% and 48.1%, respectively, compared to the CK treatment. Nitrogen accumulation first and then decreased significantly with depth. Nitrogen accumulation under the different straw mulching regimes increased with an increase in the application of reduced nitrogen. After the harvest of summer maize, the accumulation of NO3--N and NH4+-N in the >80 cm soil layer under the B treatments was 19.9%-58.2% and 31.1%-61.7% lower than that of the CK treatment, respectively. This compared to reductions of 36.7%-70.9% and 82.6%-89.2% for the S treatments, respectively. Only the BN3 treatment increased accumulation compared with CK by 0.4% on average, while the SN2 treatment resulted in a 9.3% increase. Summer maize yield and relative indexes were also improved relative to the other treatments. Nonlinear fitting of yield and application reduction showed that deep straw burial was better than surface covering at increasing summer maize production. The effect of deep straw burial and 14%-20% application reduction was better. Straw mulching with reduced nitrogen fertilization can limit nitrogen leaching and thereby reduce the risk of groundwater pollution. After the harvest, groundwater quality was classified in the Ⅱ class, with the risk of nitrogen contamination being lowest under deep straw burial with>20% reduced nitrogen fertilization. These observations show that deep straw deep alongside 14%-20% application reduction could effectively alleviate nitrogen leaching and reduce the risk of nitrogen pollution in groundwater. This approach can help improve the ecological environment and summer maize yields in the Hetao irrigation district.

The effects of straw mulching combined with nitrogen applications on the root distributions and nitrogen utilization efficiency of summer maize.

To provide an appropriate tillage fertilization model for improving N utilization efficiency and increasing production, the field experiments were conducted to study the effects on root distributions and N utilization efficiency of summer maize involving different straw mulching modes combined with N fertilization. No (N0), low (N1), medium (N2), and high (N3) levels of N fertilization were incorporated into soil combined with the surface coverage straw (Treatment B) and the deeply buried straw (Treatment S). The traditional cultivation was used as control treatment. The results shown that treatments S had significantly promoted deep root growth, and the root length density (RLD) increased with increases in N application rate. SN2 and SN3 treatments' average RLD were significantly increased by 67.5% and 68.1% in the greater than 40 cm soil layers. While the Treatment B had significantly increased the RLD in 0 -30 cm soil layers only. With increases in N application rate, the effect on summer maize yields increase under Treatment B were not significantly, and only BN3 increased by 0.4%, while under Treatments S were found to first increase, and then decrease. The apparent recovery efficiency of applied N, N uptake and summer maize yield of SN2 had increased by 66.8%, 20.4%, and 9.3%. Therefore the rational tillage fertilization model was deeply buried straw combined with medium N fertilizer in Hetao Irrigation District.

Reconstruction of skull and dural defects using anterolateral thigh flaps: A STROBE-compliant article.

It is difficult to repair large skull and dural defects. We observed the therapeutic effects of anterolateral thigh flaps with vascular fascia lata for repairing large skull and dural defects.From December 2008 to June 2019, we repaired large skull and dural defects for 28 cases including 12 cases with scalp malignant tumor and 16 cases requiring removal of titanium mesh which had been once placed due to craniocerebral trauma. The scalp malignant tumor invaded full-thickness skull in 12 cases; and invaded cervical lymph nodes, dura mater or brain tissue in 3 cases. In the 12 cases with scalp malignant tumor, the scalp defects of 12 cm × 9 cm to 22 cm × 18 cm and skull defects of 9 cm × 7 cm to 15 cm × 12 cm after radical tumor resection were repaired using anterolateral thigh flaps of 14 cm × 11 cm to 23 cm × 19 cm with fascia lata of 10 cm × 8 cm to 16 cm × 12 cm. Postoperative radiotherapy and chemotherapy were also performed in the 3 cases with tumor metastasis. In the 16 cases requiring removal of titanium mesh, the skull and dural defects of 8 cm × 7 cm to 15 cm × 11 cm after removal of titanium mesh were repaired using anterolateral thigh flaps of 10 cm × 8 cm to 16 cm × 12 cm.In all cases, the transplanted anterolateral thigh flap with fascia lata survived after surgery and no vascular crisis occurred. During the followup of 8 months to 9 years, the flap appearance in the head-repaired area was fine, no external hernia of brain tissue occurred, the appearance of the femoral donor site was acceptable, and femoral muscle strength and movements were normal in all cases. The 12 cases with scalp malignant tumor had no local recurrence or distant metastasis.Repairing the skull and dural defects caused by radical surgery for scalp malignant tumor or removal of titanium mesh using anterolateral thigh flaps with vascular fascia lata, is effective. The appearance in the head-repaired area is fine without external hernia of brain tissue.

Repair of knee deep burn wound with descending genicular artery-saphenous artery perforator flaps in elderly patients (a STROBE-compliant article).

It is difficult to repair knee deep burn wounds in elderly patients. In this study, we observed the therapeutic effects of descending genicular artery-saphenous artery perforator flaps on knee deep burn wounds in elderly patients.Between December 2013 and February 2018, we repaired knee third-degree burn wounds using descending genicular artery-saphenous artery perforator flaps of 20 × 12 cm to 23 × 13 cm in 56 elderly patients. For the patella and patellar ligament with complete necrosis, the patella and patellar ligament were completely removed, whereas for the patella and patellar ligament with partial necrosis, necrotic parts were removed first. The donor area was repaired using intermediate thickness free skin graft. The 56 patients were 76- to 85 years' old and all had unilateral knee burn.All flaps survived in the 56 patients. After the follow-up of 2 to 36 months, the flaps were excellent in texture and appearance, and exhibited sensory recovery. In the 8 patients with completely necrotic patella and patellar ligament as well as open knee joint, the weight-bearing function of knee joint was retained, which met patients' requirements of limb salvage and weight-bearing function. In the other 48 patients with partially necrotic patella and patellar ligament as well as open joint capsule, the postoperative flexion and extension of the knee joint were good.In elderly patients, it is an effective method to repair knee deep burn wounds using the descending genicular artery-saphenous artery perforator flaps.

Pre-expanded thoracodorsal artery perforator-based flaps for repair of severe scarring in cervicofacial regions.

BACKGROUND: Reconstruction of cervicofacial scarring continues to present challenges for surgical treatment. Here we present our clinical experience in repairing cervicofacial scarring using pre-expanded thoracodorsal artery perforator flaps. METHODS: From January 2007 to December 2012, 15 patients were treated for severe cervicofacial scarring. In the first surgical stage, expanders were implanted subcutaneously in the zone nourished by thoracodorsal artery perforators. The expansion generally took 3 to 6 months. In the second surgical stage, the cervicofacial cicatricial contracture was released and the secondary defect was covered with local flaps. The remaining wound was covered by the free thoracodorsal artery perforator expanded flap, which was anastomosed to the facial vascular bundle. The donor site was closed directly in all the patients. RESULTS: The postoperative follow-up time ranged from 1 to 5 years. The deformities were corrected, all flaps survived completely and none were bulky. The maximum length of the flaps was 32 cm (mean, 22.4 ± 4.2 cm), and the maximum width was 17 cm (mean, 14.4 ± 2.2 cm). All patients exhibited recovery of neck movement, and there was no recurrence of neck contracture. CONCLUSION: The pre-expanded thoracodorsal artery perforator flap is an ideal method for reconstruction of severe cervicofacial cicatricial contracture.

[Repair of tissue defects with free composite anterolateral femoral fascia lata perforator tissue flaps].

OBJECTIVE: To observe the clinical effects of repair of complicated tissue defects of several body parts with composite anterolateral femoral fascia lata perforator tissue flaps (fascial flap or fascial skin flap) with the aid of micro-surgery. METHODS: From February 2008 to August 2012, complicated tissue defects in 12 patients were repaired with composite anterolateral femoral fascia lata perforator tissue flaps. Two of the 12 patients suffered from a defect of scalp, skull, and dura mater as a result of resection of a malignant tumor of the scalp; 3 patients showed a defect of skin and tendo calcaneus in the heel and lower leg; 2 patients showed a defect of skin and extensor tendon in the dorsum of hands; the other 5 patients suffered from defects of skin and extensor tendon in the foot and ankle combined with exposure of bone or internal buttress plate. The size of tissue flaps ranged from 12 cm ×6 cm to 19 cm ×18 cm. The donor sites were closed by immediate suturing or skin grafting. RESULTS: All 12 tissue flaps survived. Patients were followed up for 2 to 36 months. The flaps were shown to have good appearance, texture and function. Two patients with the defect of the scalp, skull and dura mater after a resection of the malignant tumor of the scalp did not have recurrence or herniation of brain tissue. The foot-raising function in 3 patients with the defect of skin and tendo calcaneus in the heel and lower leg was recovered, and according to Arner-Lindholm criteria the result was excellent in 2 cases and good in 1 case. The extension function of fingers of 2 patients with defects of skin and extensor tendon in the dorsum of hands was good according to the evaluation criteria of Chinese Medical Association Society of Hand Surgery for tendon repair of hand. The extension function of toes of 5 patients with defects of skin and extensor tendon in the foot and ankle combined with exposure of bone or internal buttress plate was recovered and improved. CONCLUSIONS: Transplantation of composite anterolateral femoral fascia lata perforator tissue flaps with the aid of micro-surgery is an effective method in repairing the tissue defects of skull, dura mater, and the extensor tendon of hands or feet, with restoration of the extension function.

[Methane emission flux of Zhalong Phragmites australis wetlands in growth season].

Static chamber/gas chromatogram method was adopted to measure the methane emission flux of Zhalong Phragmites australis wetlands with different water levels in a growth season from May to October, 2009, aimed to understand the methane emission pattern in natural freshwater P. australis wetland in frigid region. During the observation period, the average methane emission flux of test wetlands ranged from -21.18 to 46.15 mg x m(-2) x h(-1), with a mean of 7.67 mg x m(-2) x h(-1). In deep water zone (average water level 100 cm) and shallow water zone (average water level 25 cm), the average methane emission flux was 5.81 and 9.52 mg x m(-2) x h(-1), with a peak in August and July, respectively, and the minimum in October. In summer (from June to July), the methane emission flux in deep water zone was significantly lower than that in shallow water zone; while in spring (May) and autumn (from August to October), a reversed trend was observed. The methane emission flux had a seasonal pattern of summer > autumn > spring, and a diurnal pattern of being the highest at 12:00 and 14:00 and the lowest at 0:00. Temperature and water level were the major factors affecting the methane emission flux in freshwater P. australis wetlands in frigid region.

[Fabricated expanded thoracodorsal artery perforator flap to repair cervical scar in children].

OBJECTIVE: To investigate ideal methods to repair cervical cicatricial contracture in children. METHODS: The expanders were implanted subcutaneously around the cervical scar and above the latissimus. After expansion was completed, the cervical cicatricial contracture was released and the wound was covered with local expanded flaps and free expanded prefabricated thoracodorsal artery perforator flap, leaving no injury to thoracodorsal nerves and latissimus. The wound at the donor site was closed directly. RESULTS: From July 2007 to October 2009, 10 patients were treated. All the flaps survived completely. All the wounds were repaired totally and the deformities were corrected completely. The patients were followed up for 3-30 months. When the patients grew up, the flaps enlarged simultaneously. The flaps were not bulky and had a good color match. The scar at the donor site was inconspicuous with no functional morbidity. CONCLUSION: The fabricated expanded thoracodorsal artery perforator flaps is an ideal method for severe cervical cicatricial contracture in children.