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The subaxillary pedicled flap.

R Chandra1, P Kumar, S H Abdi

  • 1Postgraduate Department of Plastic Surgery, K.G's Medical College, Lucknow, India.

British Journal of Plastic Surgery
|March 1, 1988
PubMed
Summary
This summary is machine-generated.

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A new subaxillary fasciocutaneous flap offers a solution for hand and finger defects. This flap provides better patient mobility and easier donor site closure compared to traditional methods.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Traditional flaps like groin or hypogastric limit patient mobility and dressing.
  • A need exists for a flap that allows greater patient independence during reconstruction.

Purpose of the Study:

  • To introduce and evaluate the subaxillary fasciocutaneous flap for hand and finger defect reconstruction.
  • To assess the flap's efficacy in improving patient mobility and donor site management.

Main Methods:

  • The subaxillary fasciocutaneous flap, based on the subscapular-thoracodorsal arterial axis, was designed for defects of the hand, thumb, fingers, and web-spaces.
  • The flap comprises skin, subcutaneous tissue, and fascia, harvested from the lateral chest wall (5th-10th rib to mid-axillary line).
  • Donor site closure was managed via primary closure or skin grafting.

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Main Results:

  • The flap was successfully utilized in 10 cases for resurfacing hand and finger defects.
  • The subaxillary fasciocutaneous flap demonstrated good mobility and facilitated easier donor site management.
  • The flap's donor site could be concealed effectively post-operatively.

Conclusions:

  • The subaxillary fasciocutaneous flap is a viable and effective option for resurfacing defects in the hand, thumb, fingers, and web-spaces.
  • This flap offers advantages in terms of patient mobility and donor site healing compared to other flap options.
  • Further evaluation of this novel flap in a larger patient cohort is warranted.