M Kingsly Paul, Ete Geley, J Felix Cordelia M, Akamanchi Anirudha K, Agarwal Shwetha
Department of Plastic Surgery, Christian Medical College, Vellore, Tamil Nadu, India.
Indian J Plast Surg. 2022 Feb 16;55(1):66-69. doi: 10.1055/s-0041-1740087. eCollection 2022 Feb.
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 with axillary HS who underwent wide excision and posterior arm flap cover between August 2017 and December 2020 were reviewed. 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. 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.
化脓性汗腺炎（HS）是一种慢性炎症性疾病，腋窝是最常受累的部位。对受累组织进行根治性切除是一种确定性治疗方法。有多种用于腋窝重建的技术。
回顾了2017年8月至2020年12月期间接受广泛切除并采用上臂后皮瓣覆盖的腋窝HS患者。
在研究期间，8例患者共进行了15次皮瓣手术。所有8例患者均借助双团队方法同时进行双侧疾病根治性切除。除1例患者一侧采用中厚皮片移植外，双侧均用上臂后皮瓣进行腋窝重建。所有皮瓣均顺利愈合，无明显并发症。在12至42个月的随访中，1例患者一侧出现疾病复发。所有患者的皮瓣和供区均愈合良好，未造成明显的功能障碍。
腋窝化脓性汗腺炎一旦确诊应尽早考虑根治性切除。广泛切除后，采用上臂后皮瓣同时进行双侧重建是一种简单可靠的技术，患者报告的结果良好。
