Reconstructive options in severe cases of Hidradenitis suppurativa

• Autorzy: Birol Civelek , Kadir Aksoy , Esra Bilgen , Ibrahim İnal , Unal. Sahin , Selim Çelebioğlu
• Języki publikacji: EN

Abstrakty

EN

Hidradenitis suppurativa is a chronic, debilitating inflammatory disease of apocrine glands characterized with abscesses and nodular lesions. The treatment of Hidradenitis suppurativa consists of topical antibacterial or antiseptic solutions, systemic antibiotics, steroids, hormonal therapy, anti-tumor necrosis factor, and various surgical procedures. In this report, we present a series of 14 cases with severe Hidradenitis suppurativa. Surgical options are reviewed to show the best outcomes in the long term. A total of 14 patients (9 female, 5 male) were treated for advanced cases of Hidradenitis suppurativa. They underwent excision of the affected regions followed by reconstruction. The reconstruction methods consisted of split-thickness skin grafting and various cutaneous and myocutaneous flaps. There was no flap necrosis or dehiscence. One patient developed contracture in the axilla, for which he underwent release surgery. There were recurrences in 4 cases. There was no limitation of the arm movements in cases with flap reconstruction. In the long-term, they were satisfied with the results. In conclusion, incision and drainage should be avoided because it is of limited value. Surgical removal of the involved tissue should be the first treatment of choice. Depending on the defect following excision, local flaps should be preferred over the grafts for recurrence prevention.

Słowa kluczowe

EN

Hidradenitis suppurativa; Flap; Reconstruction

• Czasopismo: Open Medicine
• Rocznik: 2010
• Tom: 5
• Numer: 6
• Strony: 674-678

Daty

wydano

2010-12-01

online

2010-10-07

Twórcy

autor

Birol Civelek

• Department of Plastic and Reconstructive Surgery, Diskapi Y. Beyazit Training and Research Hospital, 06100, Ankara, Turkey,

autor

Kadir Aksoy

• Department of Plastic and Reconstructive Surgery, Diskapi Y. Beyazit Training and Research Hospital, 06100, Ankara, Turkey

autor

Esra Bilgen

• Department of Plastic and Reconstructive Surgery, Diskapi Y. Beyazit Training and Research Hospital, 06100, Ankara, Turkey

autor

Ibrahim İnal

• Department of Plastic and Reconstructive Surgery, Diskapi Y. Beyazit Training and Research Hospital, 06100, Ankara, Turkey

autor

Unal. Sahin

• Department of Plastic and Reconstructive Surgery, Diskapi Y. Beyazit Training and Research Hospital, 06100, Ankara, Turkey

autor

Selim Çelebioğlu

• Department of Plastic and Reconstructive Surgery, Diskapi Y. Beyazit Training and Research Hospital, 06100, Ankara, Turkey

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Identyfikatory

DOI

10.2478/s11536-009-0126-2