Evaluation of the mobility of the shoulder and quality of life after perforator flaps for recalcitrant axillary hidradenitis

Autor: R. Nail-Barthelemy, A. Nassif, Maïa Delage, Michael Atlan, Q. Qassemyar, N. Stroumza
Přispěvatelé: CHU Tenon [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Centre Médical de l'Institut Pasteur (CMIP), Institut Pasteur [Paris] (IP), Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Institut Pasteur [Paris], Centre Médical de l'Institut Pasteur
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
[SDV]Life Sciences [q-bio]
030230 surgery
LICAP flap
TDAP flap
Young Adult
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
Quality of life
medicine.artery
Dash
medicine
Humans
Hidradenitis suppurativa
Range of Motion
Articular
Axillary reconstruction
Retrospective Studies
Thoracodorsal artery
Shoulder Joint
business.industry
Retrospective cohort study
Middle Aged
medicine.disease
Hidradenitis Suppurativa
3. Good health
Surgery
Axilla
medicine.anatomical_structure
Patient Satisfaction
Quality of Life
Female
business
Perforator Flap
Intercostal arteries
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
[SDV.MHEP.DERM]Life Sciences [q-bio]/Human health and pathology/Dermatology
Perforator flaps
Follow-Up Studies
Zdroj: Annales de Chirurgie Plastique Esthétique
Annales de Chirurgie Plastique Esthétique, 2019, 64 (1), pp.68-77. ⟨10.1016/j.anplas.2018.01.003⟩
Annales de Chirurgie Plastique Esthétique, Elsevier Masson, 2019, 64 (1), pp.68-77. ⟨10.1016/j.anplas.2018.01.003⟩
ISSN: 0294-1260
1768-319X
DOI: 10.1016/j.anplas.2018.01.003
Popis: Summary Background Hidradenitis suppurativa is a very debilitating disease, treated by antibiotics and excision. The reconstruction is usually done by secondary wound healing and/or split-thichness skin graft. The aim of this study was to evaluate the reconstruction of the axilla with local perforator flaps as a single stage surgical treatment. Methods This was a monocentric retrospective study conducted between November 2013 and June 2015. We included the patients with a severe axillary localization of the disease. Between 6 months and 1 year postoperatively, we noted length of complete healing, complications, patients satisfaction score about the surgery, DASH functional score, maximum abduction angle of the arm, and recurrence of the disease. Results Thirteen patients were included, for a total of seventeen affected axillae. We performed seven thoracodorsal artery perforator flaps, seven lateral intercostal artery perforator flaps and three serratus anterior artery perforator flaps. The mean duration of follow-up was 279.1 ± 84.1 days (180–365). The average complete healing time was 20.5 ± 13.5 days (10–60). Six axillae were compounded (35%). The average recurrence rate of HS was 0%. The average score in the DASH questionnaire was 68.6 ± 35.3 points (39–152) and the average maximum abduction angle of the arm was 160.6 ± 18.5 degrees. The average score on the satisfaction questionnaire was 36.5 ± 5.6 points (25–43). Conclusion This is a single stage, reliable and effective surgical procedure. The results are very encouraging, with a good quality of life, a low functional disability and a shorter healing time.
Databáze: OpenAIRE
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