Split-thickness skin graft for repeated extensive hidradenitis suppurativa of axilla: Case report and literature review

Chin-Ta Lin, Shyi-Gen Chen, Niann-Tzyy Dai, Shun-Cheng Chang, Tim-Mo Chen

Research output: Contribution to journalArticle

Abstract

Hidradenitis suppurativa (HS) is a chronic relapsing disease that frequently causes disabling pain, diminished range of motion, and social isolation. In advanced cases of HS, aggressive excision of the involved apocrine tissue with subsequent reconstruction is the defi nitive treatment. Here, we present our recent experience of using split-thickness skin graft (STSG) for managing an extensive defect following wide surgical excision of axillary HS lesions. Adequate wide excision of the infected tissue ensures complete skin-graft take while allowing full shoulder mobility, thereby minimizing undesirable outcomes. No limitation of shoulder joint or disease recurrence was observed during one year of follow-up. This method has satisfactory aesthetic and functional results as well as low donor site morbidity for treatment of repeated extensive HS of axilla. © 2013 JMS.
Original languageEnglish
Pages (from-to)173-175
Number of pages3
JournalJournal of Medical Sciences (Taiwan)
Volume33
Issue number3
DOIs
Publication statusPublished - 2013
Externally publishedYes

Keywords

  • Axillary skin defect
  • Hidradenitis suppurativa
  • Split-thickness skin graft
  • antibiotic agent
  • adult
  • antibiotic therapy
  • article
  • axillary suppurative hidradenitis
  • bacterium culture
  • case report
  • dermatome
  • disease course
  • disease duration
  • fasciocutaneous flap
  • follow up
  • graft survival
  • human
  • male
  • methicillin resistant Staphylococcus aureus
  • muscle contracture
  • recurrent disease
  • scar formation
  • skin function
  • split thickness skin graft
  • Staphylococcus infection
  • suppurative hidradenitis
  • surgical drainage
  • treatment outcome
  • wound care

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