Abstract
Axillary burn scar contractures are difficult to treat due to that they are usually associated with hypertrophic burn scars of upper extremities, trunk and neck. There are many methods to treat axillary scar contracture but the optimal therapeutic method must be individualized, depending on not only the severity of the contracture itself but also the local anatomic conditions, such as scarring of the axillary folds and amount of scarring of adjacent skin. We present one case of 11 y/o child using island pedicle thoracodrosal perforator flap for right and random transpositional flap for left axillary burn scar contractures. Clinical results indicated that transpositoinal flap is a simple, efficient, and reliable technique in release of axillary scar contracture if healthy skin tissue is enough in axilla. If there is severe scarring of axillary tissue, pedicle flap such as thoracodorsal perforator flap may be considered. They both achieve good functional and cosmetic results after reconstruction.
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