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Thoracodorsal artery perforator (TAP) type I V–Y advancement flap in axillary hidradenitis suppurativa  Nabiha Rehman, Ruben Y. Kannan, Sultan Hassan,

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Presentation on theme: "Thoracodorsal artery perforator (TAP) type I V–Y advancement flap in axillary hidradenitis suppurativa  Nabiha Rehman, Ruben Y. Kannan, Sultan Hassan,"— Presentation transcript:

1 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 (June 2005) DOI: /j.bjps Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

2 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  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

3 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  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

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

5 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  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

6 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  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions


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