Papers of The 8th Japan Scar Workshop

12. A Case of Axillary Scar Contracture Reconstructed using The Square Flap Method

Atsuko Sugimoto123, Rei Ogawa1, Chenyu Huang1, Masataka Akimoto3, Hiko Hyakusoku1
1:Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital, Tokyo, Japan
2:Department of Plastic, Reconstructive and Aesthetic Surgery, Towa Hospital, Tokyo, Japan
3:Department of Plastic and Reconstructive Surgery, Nippon Medical School Chiba Hokusoh Hospital, Tokyo, Japan

The square flap method was reported by one of the authors as an effective method to provide satisfactory elongation of skin. In this paper, we present a case of axillary scar contracture reconstructed using the square flap method. Bilateral axillary contractures were released and three-dimensional reconstruction was performed using the said method. At 6 months after the operation, range of motion of the right upper arm elevation improved from 70 to 150 degrees, and that of the left also improved from 40 to 150 degrees. Elongation rate of the contracture was 2.7 times (from 6cm to 16.2cm). The square flap method was considered to be more effective than z-plasty in terms of three-dimensional reconstruction and elongation rate.
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