title: The inframammary extending lateral intercostal artery perforator flap for reconstruction of axillary contractures: a case report.
abstract: Release and reconstruction of axillary scar contractures can be challenging due to the specific anatomic site and contouring of the axillary region. Pliable and unscarred skin coverage of resulting defects after scar release is needed which enhances the postoperative recovery and revalidation. When traditional donor regions of fasciocutaneous flaps are involved in the scarred area, options are few. We describe the design and versatility of an inframammary extended lateral intercostal artery perforator (LICAP) flap to reconstruct an axillary defect after wide scar release and debridement. The postoperative recovery was uneventful with restoration of the range of motion of the shoulder joint.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University Hospital Gent, Belgium. filip.stillaert@ugent.be
authors.forename: F B
authors.initials: FB
authors.lastname: Stillaert
authors.forename: B
authors.initials: B
authors.lastname: Casaer
authors.forename: N
authors.initials: N
authors.lastname: Roche
authors.forename: K
authors.initials: K
authors.lastname: Van Landuyt
authors.forename: M
authors.initials: M
authors.lastname: Hamdi
authors.forename: P N
authors.initials: PN
authors.lastname: Blondeel
authors.forename: S
authors.initials: S
authors.lastname: Monstrey
mesh_terms: D001365:Axilla / Q000601:surgery*; D002056:Burns / Q000601:surgery; D002921:Cicatrix / Q000601:surgery; D003286:Contracture / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*