PDF(Pubmed)
Abstract：
BACKGROUND: Hidradenitis suppurativa (HS) is a chronic inflammatory disorder with distinct characteristics: chronic nature, morphology, and location. It originates from occluded and ruptured follicles, releasing keratin and bacteria into the nearby dermis. This causes an inflammatory reaction, leading to the formation of abscesses and the destruction of the pilosebaceous junction.
METHODS: We present the case 24-year-old female with a severe, stage III case of HS who had a lesion (approx. 10 × 15 cm) on her right axilla spanning 4 years. Despite some response to medical treatment, she experienced recurrent symptoms, due to this, surgical intervention was decided, using a latissimus dorsi thoracodorsal artery perforator (TDAP) flap. The lesion was successfully removed, and the flap was placed, leading to proper postoperative healing, cicatrization, and sensitivity in the patient.
CONCLUSIONS: HS poses a challenge due to its recurring course. Treatment involves pharmacological and surgical approaches, with the former suited for mild to moderate cases and the latter for severe instances. Surgical options, like TDAP flaps, show lower recurrence rates than skin grafts. TDAP flaps also offer advantages such as reduced bulkiness and favorable aesthetic and functional outcomes compared to other latissimus dorsi flaps.
CONCLUSIONS: HS represents an obstacle in terms of systemic effects and aesthetic concerns. Lattisimus dorsi flaps have emerged as an effective treatment method due to the reliable vascular supply and adequate volume to the recipient site as demonstrated by our case, where the patient showed appropriate evolution with no morbidity associated with the procedure as well as adequate aesthetic results.
METHODS: We present the case 24-year-old female with a severe, stage III case of HS who had a lesion (approx. 10 × 15 cm) on her right axilla spanning 4 years. Despite some response to medical treatment, she experienced recurrent symptoms, due to this, surgical intervention was decided, using a latissimus dorsi thoracodorsal artery perforator (TDAP) flap. The lesion was successfully removed, and the flap was placed, leading to proper postoperative healing, cicatrization, and sensitivity in the patient.
CONCLUSIONS: HS poses a challenge due to its recurring course. Treatment involves pharmacological and surgical approaches, with the former suited for mild to moderate cases and the latter for severe instances. Surgical options, like TDAP flaps, show lower recurrence rates than skin grafts. TDAP flaps also offer advantages such as reduced bulkiness and favorable aesthetic and functional outcomes compared to other latissimus dorsi flaps.
CONCLUSIONS: HS represents an obstacle in terms of systemic effects and aesthetic concerns. Lattisimus dorsi flaps have emerged as an effective treatment method due to the reliable vascular supply and adequate volume to the recipient site as demonstrated by our case, where the patient showed appropriate evolution with no morbidity associated with the procedure as well as adequate aesthetic results.
摘要：
背景：化脓性汗腺炎（HS）是一种慢性炎症性疾病，具有独特的特征：慢性性质，形态学,和位置。它起源于阻塞和破裂的卵泡，将角蛋白和细菌释放到附近的真皮中。这会导致炎症反应，导致脓肿的形成和毛囊皮脂腺交界处的破坏。
方法：我们介绍的病例为24岁女性，有病变的HS的III期病例（约。10×15厘米）在她的右腋下，跨越4年。尽管对医疗有一些反应，她反复出现症状,正因为如此,决定手术干预，使用背阔肌胸背动脉穿支（TDAP）皮瓣。病灶被成功切除,放置了皮瓣，导致术后适当的愈合，cicatrization,患者的敏感性。
结论：HS由于其反复出现而面临挑战。治疗包括药理学和手术方法，前者适用于轻度至中度病例，后者适用于重度病例。手术选择,像TDAP襟翼，显示复发率低于皮肤移植物。与其他背阔肌皮瓣相比，TDAP皮瓣还具有优势，例如体积减少，美学和功能效果良好。
结论：HS在系统效应和美学问题方面是一个障碍。背肌皮瓣已经成为一种有效的治疗方法，由于可靠的血管供应和足够的体积到受体部位，正如我们的案例所证明的那样。患者表现出适当的演变，没有与手术相关的发病率以及足够的美学结果。
方法：我们介绍的病例为24岁女性，有病变的HS的III期病例（约。10×15厘米）在她的右腋下，跨越4年。尽管对医疗有一些反应，她反复出现症状,正因为如此,决定手术干预，使用背阔肌胸背动脉穿支（TDAP）皮瓣。病灶被成功切除,放置了皮瓣，导致术后适当的愈合，cicatrization,患者的敏感性。
结论：HS由于其反复出现而面临挑战。治疗包括药理学和手术方法，前者适用于轻度至中度病例，后者适用于重度病例。手术选择,像TDAP襟翼，显示复发率低于皮肤移植物。与其他背阔肌皮瓣相比，TDAP皮瓣还具有优势，例如体积减少，美学和功能效果良好。
结论：HS在系统效应和美学问题方面是一个障碍。背肌皮瓣已经成为一种有效的治疗方法，由于可靠的血管供应和足够的体积到受体部位，正如我们的案例所证明的那样。患者表现出适当的演变，没有与手术相关的发病率以及足够的美学结果。
