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Evaluation of the mobility of the shoulder and quality of life after perforator flaps for recalcitrant axillary hidradenitis

Évaluation de la mobilité de l’épaule et de la qualité de vie après reconstruction du creux axillaire par lambeau perforant, dans le cadre de la maladie de Verneuil

Abstract : Background.-Hidradenitis suppurativa is a very debilitating disease, treated by antibiotics and excision. The reconstruction is usually done by secondary wound healing and/or split-thichness skin graft. The aim of this study was to evaluate the reconstruction of the axilla with local perforator flaps as a single stage surgical treatment. Methods.-This was a monocentric retrospective study conducted between November 2013 and June 2015. We included the patients with a severe axillary localization of the disease. Between 6 months and 1 year postoperatively, we noted length of complete healing, complications, patients satisfaction score about the surgery, DASH functional score, maximum abduction angle of the arm, and recurrence of the disease. Results.-Thirteen patients were included, for a total of seventeen affected axillae. We performed seven thoracodorsal artery perforator flaps, seven lateral intercostal artery perfo-rator flaps and three serratus anterior artery perforator flaps. The mean duration of follow-up was 279.1 AE 84.1 days (180-365). The average complete healing time was 20.5 AE 13.5 days (10-60). Six axillae were compounded (35%). The average recurrence rate of HS was 0%. The average Annales de chirurgie plastique esthétique (2019) 64, 68-77