Brachial artery perforator propeller flap reconstruction of post electrical burn defect axilla

Authors

  • Surya Rao Venkata Mahipathy Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Thandalam, Kanchipuram, Tamil Nadu, India http://orcid.org/0000-0002-8214-8871
  • Alagar Raja Durairaj Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Thandalam, Kanchipuram, Tamil Nadu, India
  • Narayanamurthy Sundaramurthy Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Thandalam, Kanchipuram, Tamil Nadu, India
  • Anand Prasath Jayachandiran Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Thandalam, Kanchipuram, Tamil Nadu, India
  • Suresh Rajendran Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Thandalam, Kanchipuram, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20214028

Keywords:

Brachial perforator, Propeller flap, Doppler, Upper limb

Abstract

In the current scenario, propeller flaps are an attractive choice for single stage coverage of a large number of defects. They have a more reliable vascular pedicle than traditional flap and allow for greater freedom in design and wide mobilization and minimal donor-site morbidity. Harvesting of a propeller flap requires appropriate patient selection, preoperative planning, and meticulous dissection and these techniques greatly reduce the complication rates. Here, we present a case of a post burn raw area of the right axilla which was debrided and covered with a brachial artery perforator propeller flap.

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Author Biographies

Surya Rao Venkata Mahipathy, Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Thandalam, Kanchipuram, Tamil Nadu, India

Professor & Head,
Dept. of Plastic & Reconstructive Surgery

Alagar Raja Durairaj, Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Thandalam, Kanchipuram, Tamil Nadu, India

Professor,
Dept. of Plastic & Reconstructive Surgery

Narayanamurthy Sundaramurthy, Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Thandalam, Kanchipuram, Tamil Nadu, India

Associate Professor,
Dept. of Plastic & Reconstructive Surgery

Anand Prasath Jayachandiran, Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Thandalam, Kanchipuram, Tamil Nadu, India

Assistant Professor,
Dept. of Plastic & Reconstructive Surgery

Suresh Rajendran, Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Thandalam, Kanchipuram, Tamil Nadu, India

Senior Resident,
Dept. of Plastic & Reconstructive Surgery

References

Ono S, Sebastin SJ, Yazaki N, Hyakusoku H, Chung KC. Clinical applications of perforator-based propeller flaps in upper limb soft tissue reconstruction. J Hand Surg Am. 2011;36:853-63.

Sananpanich K, Tu YK, Kraisarin J, Chalidapong P. Reconstruction of limb soft-tissue defects: Using pedicle perforator flaps with preservation of major vessels, a report of 45 cases. Injury. 2008;39(Suppl 4):55-66.

Innocenti M, Baldrighi C, Delcroix L, Adani R. Local perforator flaps in soft tissue reconstruction of the upper limb. Handchir Mikrochir Plast Chir. 2009;41:315-21.

Hyakusoku H, Yamamoto T, Fumiiri M. The propeller flap method. Br J Plast Surg. 1991;44:53-4.

Hallock GG. The propeller flap version of the adductor muscle perforator flap for coverage of ischial or trochanteric pressure sores. Ann Plast Surg. 2006;56:540-2.

Teo TC. Perforator local flaps in lower limb reconstruction. Cirugia Plastica Ibero-Latinoamericana. 2006;32(4):15-292.

Blondeel PN, van Landuyt KHI, Monstrey SJM, Hamdi M, Matton GE, Allen RJ, et al. The “Gent” consensus on perforator flap terminology: preliminary definitions. Plastic and Reconstructive Surgery. 2003;112(5):1378-82.

Pignatti M, Ogawa R, Hallock GG, Mateev M, Georgescu AV, Balakrishnan G, et al. The “Tokyo” consensus on propeller flaps. Plastic and Reconstructive Surgery. 2011;127(2):716-22.

Sauerbier M, Unglaub F. Perforator flaps in the upper extremity. Clin Plast Surg. 2010;37:667-76.

Teo TC. The propeller flap concept. Clin Plast Surg. 2010;37:615-26.

Blondeel P, Morris S, Hallock G, Neligan P. Vascular supply of the integment of the upper extremity. In: Thomas BP, Tang M, Morris SF, editors. Perforator flaps. 1st ed. St. Louis, Missouri: QMP; 2006: 219-46.

Chen SH, Xu DC, Tang ML, Ding HM, Sheng WC, Peng TH. Measurement and analysis of the perforator arteries in upper extremity for the flap design. Surg Radiol Anat. 2009;31:687-93.

D'Arpa S, Toia F, Pirrello R, Moschella F, Cordova A. Propeller flaps: a review of indications, technique, and results. Biomed Res Int. 2014; 2014: 986829.

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Published

2021-09-28

How to Cite

Mahipathy, S. R. V., Durairaj, A. R., Sundaramurthy, N., Jayachandiran, A. P., & Rajendran, S. (2021). Brachial artery perforator propeller flap reconstruction of post electrical burn defect axilla. International Surgery Journal, 8(10), 3211–3213. https://doi.org/10.18203/2349-2902.isj20214028

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Section

Case Reports