Background: The TDAPF offers a pedicled approach for
AX reconstruction, characterized by consistent flap thickness,
minimal donor site complications, and dependable vascular
anatomy with a lengthy pedicle [1].
Objective: This study examines the merits, drawbacks,
and possible complications associated with using the thoracodorsal
artery perforator flap (TDAPF) for axillary (AX) reconstruction.
Methods: This was a prospective cohort study performed
at Menoufia University Hospital's Surgery Department from
January 2022 to January 2023, involving 20 patients needing
AX reconstruction due to defects. Inclusion criteria included
patients aged 18 to 60 years with AX contractures, suitable for
anesthesia, and lacking significant underlying health issues.
Results: Evaluation using the Constant-Murley score
demonstrated a substantial enhancement in shoulder function
after the procedure, approaching normal levels, particularly
in terms of pain, daily activities, and range of motion. Preoperatively,
abduction strength was largely unaffected, as the
condition doesn't directly impact shoulder muscles or the joint
itself. The average preoperative Dermatology Life Quality Index
(DLQI) score was 12.3 (range: 9–15), decreasing to 2.99
(range: 2–7) one year postoperative.
Conclusion: AX reconstruction presents intricate challenges,
necessitating careful selection of specific reconstructive
techniques. TDAPFs have emerged as a significant option
for AX reconstruction, either as standalone or combined with
other methods.