I got to see my original burn doctor Saturday with some of the interns that were in on my surgery so that was nice. I always love seeing Dr. Pulito and he always stays in touch with me and with Garrett so he's in the know of what's going on with me. He always gives me hugs and squeezes my hands lovingly. He also came to see me Sunday morning before I left. Such a sweet man. I didn't see Garrett at all during my stay, just his interns. But he did call Sunday morning as they were working on my discharge orders and talked to me. Then around noon, the orders were done, I had my prescriptions in hand, the bags were taken down to the car and mom and I were ready to go.
I feel a lot better not having that horrid, giant tissue expander in my shoulder but it's been replaced with pain from the surgery.
There was quite a bit of scar tissue and contracture to clean out and he found that my right side sternocleidomastoid muscle was shortened significantly due to the contractures in the right side of my neck. The sternocleidomastoid muscle is a muscle in your neck that runs from just behind the ear, over the clavicle and attaches to the sternum.
As defined by wikipedia:
In human anatomy, the sternocleidomastoid muscle, also known as the sternomastoid and commonly abbreviated as SCM, is a paired muscle in the superficial layers of the anterior portion of the neck. When acting together it flexes the neck and extends the head. When acting alone it rotates to the opposite side and slightly flexes to the same side.
It looks like this:
To help release the tightness of my SCM he cut some fibers in the muscle and hopefully with some stretching therapy it will elongate. So the snipping of the fibers in that muscle have added on some more pain but in general, recovery should be quicker as this was a flap so there is no donor or graft site. I will have to wear that dreadful collar when the flap is more healed to help keep any contractures from forming in that flap area as well as stretching therapy. I can already feel a difference though. My right eye and mouth do not pull like they did so that is a really great accomplishment from this surgery. It feels a lot more flexible though it is still sore and swollen but I can tell already that despite how awful the tissue expander was, it helped enormously.