Reconstruction of the axilla by perforator-based propeller flap | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 16 January 2022 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2022.101503.1124 | ||
| Authors | ||
| emad mohamed sayed1; Abdel nasser M Alnajjar2; Mohamed AbdelBaqi Elboraey* 3; Mohammed Salah Abdel basset2; khaled mohammad Abdel Azeem4 | ||
| 1Plastic and Reconstructive Surgery, Beni Suef University | ||
| 2Plastic and reconstructive surgery Department faculty of medicine Beni suef university | ||
| 3plastic and reconstructive surgery Beni-Suef university | ||
| 4Plastic Surgery Department – Faculty of Medicine, Beni-Suef University- Beni-Suef, Egypt. | ||
| Abstract | ||
| Abstract: - Axillary reconstruction is very important. As the shoulder joint has a very wide range of motion, any axillary contractures restrict its various movements. The choice of reconstruction should have a special criterion to achieve full range of motion, due to wide range of shoulder abduction. Objective: -To evaluate perforator-based propeller flap in reconstruction of the axilla regarding functional and aesthetic consideration. Patients and methods: Twenty patients with axillary defects were reconstructed by perforator- based propeller flap in the plastic surgery department, Beni-Suef University, in the period between February 2018 till August 2021. The study included 14 males and 6 females with the age range between 14 - 50 ys. Eighteen patients with unilateral reconstructed axillae and two patients with bilateral reconstructed axillae. Twelve patients had hidradenitis suppurativa, 5 patients had grade III burn scar contracture, and 3 patients had a post-traumatic defect. 13 patients were reconstructed immediately, and 7 patients were delayed for 2 weeks; these patients were suffering from hidradenitis suppurativa after excision of the lesion, waiting until edema and inflammation completely subsided. Results: -12 (54%) patients healed eventually without major complications, 8 patients had flap complications, one patient had complete flap loss (4.5%), 5 had partial or distal flap loss (22.7%), two had venous congestion (9.1%). Other complications related to donor site were reported, like dehiscence 4 (18.2%), hematoma 2 (9.1%), and wide scar 2 (9.1%). Patients were evaluated according to functional, aesthetic outcomes, and patient satisfaction. Overall results were satisfactory. Conclusion: - Reconstruction of axillary defect due to any cause by perforator-based propeller flap has superior functional and aesthetic results. | ||
| Keywords | ||
| reconstruction; axilla; propeller; flap | ||
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