sayed, E., Alnajjar, A., Elboraey, M., Abdel basset, M., Abdel Azeem, K. (2022). Reconstruction of the axilla by perforator-based propeller flap. The Egyptian Journal of Plastic and Reconstructive Surgery, (), -. doi: 10.21608/ejprs.2022.101503.1124
emad mohamed sayed; Abdel nasser M Alnajjar; Mohamed AbdelBaqi Elboraey; Mohammed Salah Abdel basset; khaled mohammad Abdel Azeem. "Reconstruction of the axilla by perforator-based propeller flap". The Egyptian Journal of Plastic and Reconstructive Surgery, , , 2022, -. doi: 10.21608/ejprs.2022.101503.1124
sayed, E., Alnajjar, A., Elboraey, M., Abdel basset, M., Abdel Azeem, K. (2022). 'Reconstruction of the axilla by perforator-based propeller flap', The Egyptian Journal of Plastic and Reconstructive Surgery, (), pp. -. doi: 10.21608/ejprs.2022.101503.1124
sayed, E., Alnajjar, A., Elboraey, M., Abdel basset, M., Abdel Azeem, K. Reconstruction of the axilla by perforator-based propeller flap. The Egyptian Journal of Plastic and Reconstructive Surgery, 2022; (): -. doi: 10.21608/ejprs.2022.101503.1124
Reconstruction of the axilla by perforator-based propeller flap
Articles in Press, Accepted Manuscript, Available Online from 16 January 2022
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.