Islanded Perforator Flaps in the Reconstruction of Hidradenitis Suppurativa Defects

Egemen, Onur; Özkaya, Ozan; Bingöl, Derya; Orman, Cagdas; Akan, Mi̇that

doi:10.1055/s-0032-1333323

Cited by 11 publications

(2 citation statements)

References 23 publications

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“…ALT, SGAP (superior gluteal artery perforator) flap, IGAP (inferior gluteal artery perforator) flap, and TDAP (toracodorsal artery perforator) flap have been described as pedicled propeller flaps for reconstruction of difficult wounds of axillary, gluteal, or inguinal regions following resection of hidradenitis suppurativa [6, 34–37]. …”

Section: Resultsmentioning

confidence: 99%

Propeller Flaps: A Review of Indications, Technique, and Results

D’Arpa

Toia

Pirrello

et al. 2014

BioMed Research International

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In the last years, propeller flaps have become an appealing option for coverage of a large range of defects. Besides having a more reliable vascular pedicle than traditional flap, propeller flaps allow for great freedom in design and for wide mobilization that extend the possibility of reconstructing difficult wounds with local tissues and minimal donor-site morbidity. They also allow one-stage reconstruction of defects that usually require multiple procedures. Harvesting of a propeller flap requires accurate patient selection, preoperative planning, and dissection technique. Complication rate can be kept low, provided that potential problems are prevented, promptly recognized, and adequately treated. This paper reviews current knowledge on propeller flaps. Definition, classification, and indications in the different body regions are discussed based on a review of the literature and on the authors' experience. Details about surgical technique are provided, together with tips to avoid and manage complications.

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Section: Resultsmentioning

confidence: 99%

Propeller Flaps: A Review of Indications, Technique, and Results

D’Arpa

Toia

Pirrello

et al. 2014

BioMed Research International

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“…Including the muscle belly ensures that the artery is included in the flap, and detection and dissection of vessels is not strictly required. The lateral thoracic transposition flap is similar, except that it offers a longer flap and a more robust tip with the delay technique as shown by Teo et al [136] and Egemen et al [137]. …”

Section: Reconstruction After Radical Wide Excisionmentioning

confidence: 99%

Medical and Surgical Treatment of Hidradenitis Suppurativa: A Review

Scuderi

Monfrecola

Dessy

et al. 2017

Skin Appendage Disord

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Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease presenting with painful nodules, abscesses, sinus tracts, and scarring primarily affecting apocrine gland-rich intertriginous areas. HS prevalence ranges from 0.05 to 1%. The central pathogenic event in HS is believed to be the occlusion of the upper part of the folliculopilosebaceous unit, leading to the rupture of the sebofollicular canal with the consequent development of perifollicular lymphohistiocytic inflammation. The HS treatment choices are influenced by disease severity and its individual subjective impact, involving both medical and surgical interventions. However, given the chronic nature of HS, its destructive impact on social, working, and daily life of patients, its management is often frustrating for both the patient and physician. Hence, prompt and effective management strategies are urgently needed and a multidisciplinary approach is advocated. Therefore, in this article, we highlighted the main features of HS (clinical aspects, epidemiology, pathogenesis, diagnostic criteria, classifications, comorbidities, and treatments), so that awareness of this disease might be heightened in primary care physicians and surgeons, who may be the first health care providers to see patients with this disease owing to its characteristic clinical presentation (inflammatory nodules, abscesses, sinus tract, etc.).

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