{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:54:04Z","timestamp":1782384844035,"version":"3.54.5"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir."],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Hidradenitis suppurativa ist eine chronisch entz\u00fcndliche Erkrankung von Terminalfollikeln und apokrinen Dr\u00fcsen der Axilla. Die sichere und kosmetisch ansprechende Rekonstruktion gro\u00dfer Defekte nach radikaler Exzision erkrankter Areale in der Axilla stellt eine operative Herausforderung an den Chirurgen dar. Die laterale Thoraxregion bietet\u00a0\u2013\u00a0neben weiteren\u00a0\u2013\u00a0die M\u00f6glichkeit zur lokalen Perforatorlappenplastik, basierend auf der Arteria thoracodorsalis und der Arteria thoracica lateralis. Diese Arbeit zeigt erstmals in gro\u00dfer Fallzahl die Rekonstruktion axill\u00e4rer Defekte durch den lateral thoracic artery perforator-Lappen. Insgesamt 13\u2005Lappenplastiken (10 lateral thoracic artery perforator-Lappen und 3 thoracodorsal artery perforator-Lappen) wurden eingeschlossen. Die Patienten wurden im Rahmen der Nachuntersuchung auf postoperative Komplikationen nach Clavien-Dindo, das subjektive kosmetische Ergebnis, die Abduktionsf\u00e4higkeit des Arms in Form der range of motion und auf die Rezidivrate hin untersucht. Hierbei kam es weder zu einem Lappenuntergang noch zu einer Lappenteilnekrose. Bis auf einen Fall bewerteten alle Patienten das kosmetische Ergebnis als sehr gut oder gut. Die postoperative Schulterbeweglichkeit war stets uneingeschr\u00e4nkt mit einer maximalen Abduktionsf\u00e4higkeit von 178,8\u2009\u00b1\u20094,2\u00b0 und in der postoperativen Nachuntersuchung von durchschnittlich 27,2\u2009\u00b1\u200914,4\u2005Monaten kam es in keinem Fall zu einem Rezidiv. Die Verwendung der lokalen fasziokutanen Perforatorlappen der Arteria thoracica lateralis und Arteria thoracodorsalis zur plastisch-chirurgischen Behandlung der axill\u00e4ren HS im Stadium II und III f\u00fchrt zu guten \u00e4sthetischen und funktionellen Ergebnissen.<\/jats:p>","DOI":"10.1055\/a-1203-0322","type":"journal-article","created":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T00:08:26Z","timestamp":1597968506000},"page":"370-375","source":"Crossref","is-referenced-by-count":7,"title":["Die Verwendung lokaler Perforatorlappenplastiken der Arteria thoracica lateralis (LTAP) und Arteria thoracodorsalis (TDAP) zur axill\u00e4ren Rekonstruktion bei Hidradenitis suppurativa"],"prefix":"10.1055","volume":"53","author":[{"given":"Sebastian","family":"Dietrich","sequence":"additional","affiliation":[{"name":"Ev. Elisabeth Klinik Abteilung f\u00fcr Plastische Chirurgie und Handchirurgie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Reumuth","sequence":"additional","affiliation":[{"name":"Ev. Elisabeth Klinik Abteilung f\u00fcr Plastische Chirurgie und Handchirurgie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Kuentscher","sequence":"additional","affiliation":[{"name":"Ev. Elisabeth Klinik Abteilung f\u00fcr Plastische Chirurgie und Handchirurgie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irakli","family":"Panchulidze","sequence":"additional","affiliation":[{"name":"Ev. 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