PDF(Pubmed)
Abstract：
Introduction Hidradenitis suppurativa (HS) is a chronic inflammatory disease, with the axilla being the most commonly affected site. Radical excision of the involved tissue is a definitive treatment. There are numerous techniques described for the reconstruction of the axilla. Patients and methods Patients with axillary HS who underwent wide excision and posterior arm flap cover between August 2017 and December 2020 were reviewed. Results A total of 15 flaps were done in eight patients in the study period. Bilateral radical excision of the disease was done simultaneously in all eight patients with the help of a two-team approach. Reconstruction of the axilla was done with a posterior arm flap bilaterally, except one side in a single patient, wherein the split-thickness skin graft was performed. All flaps settled well without significant complications. On follow-up ranging from 12 to 42 months, one patient complained of disease recurrence on one side. The flap and the donor site had settled well in all patients, causing no significant morbidity. Conclusion Radical excision of axillary hidradenitis must be considered early on presentation. After wide excision, simultaneous bilateral reconstruction with posterior arm flap is a simple and reliable technique with an excellent patient-reported outcome.
摘要：
简介化脓性汗腺炎（HS）是一种慢性炎症性疾病，腋窝是最常见的受影响的部位。彻底切除受累组织是一种确定的治疗方法。描述了许多用于重建腋窝的技术。患者和方法回顾性分析2017年8月至2020年12月期间接受广泛切除和后臂皮瓣覆盖的腋窝HS患者。结果8例患者在研究期间共做了15个皮瓣。在两组方法的帮助下，对所有八名患者同时进行了双侧根治性切除。腋窝的重建是通过双侧后臂皮瓣完成的，除了一个病人的一侧，其中进行了分层厚度的皮肤移植。所有皮瓣沉降良好，无明显并发症。在12至42个月的随访中，一名患者抱怨一侧疾病复发。所有患者的皮瓣和供体部位都很好地固定下来，没有引起明显的发病率。结论腋窝汗腺炎的根治性切除术必须在早期考虑。广泛切除后，同时使用后臂皮瓣进行双侧重建是一种简单可靠的技术，患者报告的预后良好。
