Application Bilobed flaps through the scapular artery to treat stretch marks in the armpit areas due to burning sequelae

Doan Trung Hieu1,, Tran Van Anh2
1 Hai Phong University of Medicine and Pharmacy
2 National Burn Hospital

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Abstract

Aims: Evaluation of the effectiveness of the application of bilobed flaps through the capillary artery in the treatment of stretch marks in the armpit due to burn sequelae.
Materials and methods: Study on 6 patients with axillary traction scars due to burn sequelae who were surgically treated by the use of bilobed flaps through the capillary artery at the Center for Plastic and Reconstructive Surgery, National Burn Hospital. Le Huu Trac from October 2020 to May 2022. The study was designed according to the descriptive clinical research method.
Results: Design flap with longitudinal axis has an average length of 22.43 ± 6.55cm, maximum 30cm; average width is 10.43 ± 3.60cm, maximum 15cm. The result after surgery was 100% live skin flap, there were no cases of complications and complications after surgery. The average ROM before surgery was 62.86º ± 49.65º, the average ROM after surgery was 110.7o ± 33.2o, the average ROM after 3 months was 151.43º ± 30.65º. Early results after surgery: 85.7% good, 14.3% good. Distant results after surgery: 14.3% good, 85.7% good.
Conclusion: Bilobed flaps through the scapular artery in the treatment of stretch marks in the armpit areas of grade III, IV, and V due to burn sequelae achieved good results.

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References

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