Versatility of thoracidorsal artery perforator flap in reconstruction of axilla | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 21 July 2024 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2024.287770.1358 | ||
| Authors | ||
| Ayman Ghozlan* 1; Tarek Rageh2; Mohamed elnahas3; Tarek Fouad Kishk4 | ||
| 1Plastic Surgery division, General Surgery Department , Faculty of Medicine , Menoufia University, Shebin Elkom, Menoufia, Egypt | ||
| 2General and Oncological Surgery Department, Faculty of Medicine - Menoufia University Shebin Elkom, Menoufia, Egypt | ||
| 3Plastic Surgery Department , Faculty of Medicine , Menoufia University, Shebin Elkom, Menoufia, Egypt | ||
| 4Plastic and reconstructive surgery Department, Faculty of Medicine, Menoufia University Egypt | ||
| Abstract | ||
| Objective: This study examines the merits, drawbacks, and possible complications associated with using the thoracodorsal artery perforator (TDAP) flap for axillary reconstruction. Background: The TDAP flap offers a pedicled approach for axillary reconstruction, characterized by consistent flap thickness, minimal donor site complications, and dependable vascular anatomy with a lengthy pedicle. Methods: A prospective cohort study was conducted at Menoufia University Hospital's surgery department from January 2022 to January 2023, involving 20 patients needing axillary reconstruction due to defects. Inclusion criteria included patients aged 18 to 60 years with axillary contractures, suitable for anesthesia, and lacking significant underlying health issues. Results: Evaluation using the Constant-Murley score demonstrated a substantial enhancement in shoulder function after the procedure, approaching normal levels, particularly in terms of pain, daily activities, and range of motion. Preoperatively, abduction strength was largely unaffected, as the condition doesn't directly impact shoulder muscles or the joint itself. The average preoperative Dermatology Life Quality Index (DLQI) score was 12.3 (range: 9–15), decreasing to 2.99 (range: 2–7) one year postoperative. Conclusion: Axillary reconstruction presents intricate challenges, necessitating careful selection of specific reconstructive techniques. Thoracodorsal artery perforator flaps have emerged as a significant option for axillary reconstruction, either as standalone or combined with other methods. | ||
| Keywords | ||
| Axilla; Axillary Reconstruction; Pedicled flap; Thoracodorsal Artery Perforator Flap | ||
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