Case report: Posterior arm perforator flap for reconstruction of axillary defect after infected radiation-induced ulcer
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Abstract
Axillary soft tisue defects are uncommon in Vietnam. We report a case of an 81-year-old female patient had an infected axillary skin ulcer after going through a radical surgery and radiation therapy 30 years ago. In this case, a CT scanner was used to evaluate the fundus of the lesion and biopsy to rule out malignancy. The treatment procedure was eliminating infection based on the antibiogram, wound care, debridement, negative pressure wound therapy and reconstruction of defect. The optimal choice in this case was to use posterior arm perforator flap. After the surgery, the flap had a good vitality and the wound healed after 3 weeks. The case affirmed that the posterior arm perforator flap is suitable for axillary coverage and should be considered as one of the main options for axillary reconstruction.
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References
2. Schmidt M, Dunst-Huemer KM, Lazzeri D, Schoeffl H, Huemer GM (2015) The versatility of the islanded posterior arm flap for regional reconstruction around the axilla. Journal of Plastic, Reconstructive & Aesthetic Surgery 68(7): 953-959. doi: 10.1016/j.bjps.2015.03.002.
3. Knowlton EW (1984) Release of axillary scar contracture with a latissimus dorsi flap. Plast Reconstr Surg 74(1): 124-126. doi: 10.1097/00006534-198407000-00022.
4. Altıparmak M (2020) Scapular Island Flap As A Workhorse Flap For AxIllary Defect ReconstructIon. Selcuk Med j 36(1): 39-43. doi: 10.30733/std.2020.1453.
5. Masquelet AC, Rinaldi S, Mouchet A, Gilbert A (1985) The posterior arm free flap. Plastic and Reconstructive Surgery 76(6): 908.
6. Achauer BM, Spenler CW, Gold ME (1988) Reconstruction of axillary burn contractures with the latissimus dorsi fasciocutaneous flap. J Trauma 28(2): 211-213. doi:10.1097/00005373-198802000-00015.
7. Rehman N, Kannan RY, Hassan S, Hart NB (2005) Thoracodorsal artery perforator (TAP) type I V–Y advancement flap in axillary hidradenitis suppurativa. British Journal of Plastic Surgery. 58(4): 441-444. doi:10.1016/j.bjps.2004.10.022
8. Masquelet AC, Rinaldi S (1985) Anatomical basis of the posterior brachial skin flap. Anat Clin 7(3): 155-160. doi: 10.1007/BF01654636.
9. Guha G, Agarwal AK, Gupta S et al (2013) Posterior arm flap in management of axillary contracture. Burns 39(5): 972-977. doi: 10.1016/j. burns.2012.11.010
10. Elliot D, Kangesu L, Bainbridge C, Venkataramakrishnan V (1992) Reconstruction of the axilla with a posterior arm fasciocutaneous flap. British Journal of Plastic Surgery 45(2): 101-104. doi: 10.1016/0007-1226(92)90166-U.