الفهرس 
NTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Axillary post burn contractures remain a frequent problem after thermal burns involving the trunk and upper arm. Difficulties in rehabilitation of shoulder abduction during the initial period and the contractile evolution of the scar contribute to this problem.
Surgical correction of axillary contracture remains a challenging problem to the reconstructive surgeon owing to the wide range of abduction that should be achieved and due to the common unavailability of local tissues to be used for reconstruction of the axilla.
The choice of surgical procedure for reconstruction of post burn axillary scar contracture can be made according to the pattern of scar contracture and the state of surrounding skin.
Twenty five patients with post burn axillary contracture were classified according to Kurtzaman and Stern classification and reconstructed with different options of treatment including skin grafting, local flaps and regional flaps. Postoperative care and follow up continued for ٦ months for all patients. A physiotherapy course with a specialist was used as a routine for patients according to each technique.
The overall functional improvement and cosmetic result were quite satisfactory in most of the cases.
All the complications were mild and were managed by repeated dressing until healing occurred.
In conclusion, the choice of a flap for axillary reconstruction should have priority to skin graft and Z plasties and local random skin flaps are always preferred to fasciocutaneous flaps.