Turkish Journal of Plastic Surgery

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 28  |  Issue : 1  |  Page : 38--43

Reconstruction of axillary hidradenitis suppurativa defects with thoracodorsal artery perforator flaps: Our clinical experience


Hasan Murat Ergani, Atakan Bas, Burak Yasar, Ramazan Erkin Unlu 
 Department of Plastic, Aesthetic and Reconstructive Surgery, Saglik Bilimleri University, Ankara Numune Training and Research Hospital, Ankara, Turkey

Correspondence Address:
Dr. Atakan Bas
Department of Plastic, Aesthetic and Reconstructive Surgery, Saglik Bilimleri University, Ankara Numune Training and Research Hospital, Talatpasa Boulevard No: 5 Altindag, Ankara
Turkey

Background: Axillary hidradenitis suppurativa (HS) is a chronic, debilitating condition. Sinus tracts, abscess foci, and relapsing chronic inflammation are the hallmarks of the disease, which affects about 1% of the population. Various treatment options have been used to counter the underlying inflammation, but their efficacy profile yields an unsatisfactory result. Aims and Objectives: Subpar treatment results guided us to a different treatment approach, putting surgical modalities as the hallmark of our approach. Surgical debridement of affected tissues often results in a defect, requiring a safe,effective reconstructive method. Results: Thoracodorsal artery perforator (TDAP) flap is a versatile flap which can be applied to reconstruct thoracic and axillary defects, whereas a free fasciocutaneous flap can be used as a reliable method to cover extensive defects located elsewhere in the body. In axillary HS, TDAP flap is a reliable method for reconstruction, providing adequate soft-tissue coverage, three-dimensional regular contours, and less adverse effects in the long term compared to skin grafts. Conclusion: In our article, we shared our experience with the usage of TDAP flap. Our results indicate that TDAP should be considered as a primary option in reconstruction of axillary HS defects.


How to cite this article:
Ergani HM, Bas A, Yasar B, Unlu RE. Reconstruction of axillary hidradenitis suppurativa defects with thoracodorsal artery perforator flaps: Our clinical experience.Turk J Plast Surg 2020;28:38-43


How to cite this URL:
Ergani HM, Bas A, Yasar B, Unlu RE. Reconstruction of axillary hidradenitis suppurativa defects with thoracodorsal artery perforator flaps: Our clinical experience. Turk J Plast Surg [serial online] 2020 [cited 2020 Aug 10 ];28:38-43
Available from: http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2020;volume=28;issue=1;spage=38;epage=43;aulast=Ergani;type=0