Treatment modalities for post-burn axillary contractures and the versatility of the scapular flap

Inappropriate treatment of axillary burns frequently results in adduction contractures. In this clinical study we have reviewed 32 patients with different types of axillary post-burn adduction contractures. We have used a variety of surgical treatments for reconstruction of axillary contracture rele...

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Bibliographic Details
Published in:Burns 2002-03, Vol.28 (2), p.177-180
Main Authors: Nişanci, Mustafa, Er, Ergin, Işik, Selçuk, Şengezer, Mustafa
Format: Article
Language:English
Subjects:
Adult
Axilla
Axillary contracture
Biological and medical sciences
Burns
Burns - complications
Burns - surgery
Cicatrix - surgery
Contracture - etiology
Contracture - surgery
Dermatologic Surgical Procedures
Humans
Male
Medical sciences
Scapula
Scapular flap
Skin - blood supply
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
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Summary:Inappropriate treatment of axillary burns frequently results in adduction contractures. In this clinical study we have reviewed 32 patients with different types of axillary post-burn adduction contractures. We have used a variety of surgical treatments for reconstruction of axillary contracture releasing defects such as simple grafting, Z-plasties and locally pedicled flaps. Among these alternatives, we preferred to use scapular island flap most frequently. In addition to conventional harvest of this flap, extension of its pedicle up to the subscapular ramification by passing it through the triangular space allowed its transfer even to the anterior axillary line defects in a vertical orientation without pedicle kinking. In conclusion, the island scapular flap is a good choice for reconstruction of all types of axillary contracture, releasing defects with satisfactory results in terms of function and cosmesis.
ISSN:0305-4179
1879-1409
DOI:10.1016/S0305-4179(01)00090-0