Reconstruction of Axillary Full-thickness Defect with Parascapular Fasciocutaneous Flap
Journal
中華民國重建整形外科醫學會雜誌
Journal Volume
5
Journal Issue
4
Pages
231-237
Date Issued
1996
Author(s)
Abstract
A full-thickness defect of the axillary region demands adequate coverage to prevent exposure of the underlying structures and later contracture. Here we present 3 cases of a full-thickness defect of the axilla. We covered the wound as early as possible with a parascapular flap after the wound condition was stable. Good results were obtained. This flap is easy to harvest with little variation in anatomy. A flap with a length to width ratio of 3 to 1 can be raised. It provides thin and pliable skin to cover the axilla, and which also fits the dynamic requirement of the shoulder joint. The patient can mobilize early and splinting is not required. Also this flap decreases the contracture rate of the axilla as compared with a STSG procedure.
Type
journal article