A systematic approach to flap selection for the axillary burn contracture

Area of Science:

• Reconstructive surgery
• Plastic surgery
• Burn reconstruction

Background:

• Soft-tissue defects in the axilla can lead to significant upper extremity functional limitations.
• Axillary deformities, frequently resulting from burn injuries, necessitate effective reconstructive strategies.
• Preservation of vital axillary structures and shoulder range of motion is crucial for functional recovery.

Purpose of the Study:

• To present a systematic approach for selecting local flaps in axillary reconstruction.
• To address the challenge of restoring soft-tissue coverage in the axilla.
• To optimize functional outcomes following axillary deformities.

Main Methods:

• Utilizing vascularized tissue flaps sourced from areas adjacent to the axillary defect.
• Employing local muscle or fascial flaps for resurfacing.
• Developing a flap selection schema based on scar severity and anatomical location.

Main Results:

• Local flaps provide a viable option for resurfacing axillary defects.
• The proposed schema aids in choosing appropriate flaps for axillary burn scar contractures.
• Successful restoration of soft tissues can improve shoulder function.

Conclusions:

• Vascularized local flaps are effective for axillary soft-tissue reconstruction.
• A structured flap selection process is essential due to the limited availability of local options.
• Prompt and appropriate reconstruction is key to mitigating functional limitations in the axilla.