Thoracodorsal artery perforator (TAP) type I V–Y advancement flap in axillary hidradenitis suppurativa  Nabiha Rehman, Ruben Y. Kannan, Sultan Hassan, Nicholas B. Hart  British Journal of Plastic Surgery  Volume 58, Issue 4, Pages 441-444 (June 2005) DOI: 10.1016/j.bjps.2004.10.022 Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 1 Schematic representation of the vessels of the lateral thoracic wall with the shaded quadrilateral area showing the vascular territory of the thoraco-dorsal perforators and its boundaries. AA, axillary artery; TD, thoraco-dorsal artery; ALT, accessory lateral thoracic artery; LT, lateral thoracic artery; AT, acromio-thoracic vessels; MAL, mid-axillary line; LBS, lateral border of scapula; LD, latissimus dorsi muscle; PM, pectoralis muscle; Shaded area, vascular territory of thoraco-dorsal perforators; p, musculo-cutaneous perforator; R3, third rib; R7, seventh rib. British Journal of Plastic Surgery 2005 58, 441-444DOI: (10.1016/j.bjps.2004.10.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 2 Pre-operative picture of axillary hidradenitis suppurativa and the V–Y advancement flap based on the musculocutaneous perforators of the thoracodorsal vessels. British Journal of Plastic Surgery 2005 58, 441-444DOI: (10.1016/j.bjps.2004.10.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 3 Axillary defect following excision of all hair-bearing axillary skin. British Journal of Plastic Surgery 2005 58, 441-444DOI: (10.1016/j.bjps.2004.10.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 4 Closure of the axillary defect with the superior advancement of the V–Y flap based on the musculo-cutaneous perforators of the thoracodorsal vessels. British Journal of Plastic Surgery 2005 58, 441-444DOI: (10.1016/j.bjps.2004.10.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 5 (a) and (b) Healed flap wound with functional range of motion of the shoulder at 2 weeks post-op. British Journal of Plastic Surgery 2005 58, 441-444DOI: (10.1016/j.bjps.2004.10.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions