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    • Perforator Flaps for the Reconstruction of Axillary Defects: Different Designs and Applications

    Ahmed Ali Ebrahiem Ali, M.Sc.
    Department of Plastic Reconstructive Surgery, Faculty of Medicine; Cairo University, Cairo, Egypt

    Reconstruction of soft tissue defects of the axilla represents a challenge to the reconstructive surgeon owing to the wide range of motion that should be achieved and difficulty in the maintenance of the axillary contour. Perforator flaps represent a recent advance in the reconstructive ladder with reduced donor site morbidity leading to faster recovery and decreased postoperative pain. Perforator flaps combine the reliable blood supply of parent musculocutaneous flaps with reduced donor site morbidity (1). Perforator flaps have the additional advantages that they can be tailored to accurately reconstruct the defect, including the flap thinning for resurfacing shallow defects, there is freedom of orientation of the pedicle, and a longer pedicle is harvested than with the parent musculocutaneous flap (2). Perforator flaps that can be used for the coverage of axillary defects include those based on thoracodorsal and circumflex scapular arteries. Twenty patients with soft tissue defects of the axilla were reconstructed with those perforator flaps in this study and their outcome was evaluated. Key words: axilla, perforator, flap, thoracodorsal, circumflex scapular. 

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