| Title | Treatment modalities for post-burn axillary contractures and the versatility of the scapular flap. | | Author(s) | Nişanci M, Er E, Işik S, Sengezer M | | Institution | Department of Plastic Surgery and Burns Unit, Gülhane Military Medical Academy, 06018 Etlik, Ankara, Turkey. drnisanci@yahoo.com | | Source | Burns 2002 Mar; 28(2):177-80. | | MeSH | Adult
Axilla
Burns
Cicatrix
Contracture
Humans
Male
Scapula
Skin
Surgical Flaps
| | Abstract | 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. | | Language | eng | | Pub Type(s) | Clinical Trial
Journal Article
| | PubMed ID | 11900943 |
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