en عمومى General مقالات اصيل Original Article <strong>BACKGROUND</strong><br> Hidradenitis suppurativa is a chronic inflammatory disease with multiple inflammatory nodules and abscesses. We aimed to compare split thickness skin graft (STSG) and flaps in bilateral chronic refractory axillary hidradenitis suppurativa.<br> <strong>METHODS</strong><br> Thirty patients were investigated from March 21, 2010 to March 20, 2015. Debridement of involved skin and subcutaneous fat was done until deep fascia. The second operation was a reconstructive procedure to cover bilateral axillary wounds with STSG in left side and random fasciocutaneous flaps in the right side.<br> <strong>RESULTS</strong><br> Mean age of patients was 35.2&plusmn;9.3 years. There were 16 men (53.3%) and 14 women (46.7%). Duration of the disease before trial was 6.5&plusmn;2.1 years. The association between pain at one-month follow-up for graft or flap sites was not significant. The patients did not have pain at flap and graft sites at three-month, six-month and one-year follow-ups. Twenty-four patients (80.0%) had normal ranges of motion at one-month follow-up. At six-month and one-year follow-ups, all patients had bilateral normal ranges of motion. All patients were satisfied from symmetry of flap and graft sites at six-month and one-year follow-ups. All patients were satisfied from graft and flap donor sites at six-month and one-year follow-ups. At one-month, three-month, six-month and one-year follow-ups, recurrence of hidradenitis suppurativa was not seen.<br> <strong>CONCLUSION</strong><br> Both STSGs and fasciocutaneous flaps were successful and satisfactory for tissue coverage in patients with axillary hidradenitis suppurativa. We recommend this technique in cases of bilateral axillary hidradenitis suppurativa.&nbsp;&nbsp;<br> &nbsp; Split thickness skin, Graft, Flap, Axillary, Hidradenitis suppurativa 55 61 http://wjps.ir/browse.php?a_code=A-10-546-1&slc_lang=en&sid=1 Abolfazl Afsharfard 10031947532846007672 10031947532846007672 No Department of General and Vascular Surgery, Shohada-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Mohammad Bashir Khodaparast 10031947532846007673 10031947532846007673 No Department of General and Vascular Surgery, Shohada-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Sina Zarrintan s.zarrintan@yahoo.com 10031947532846007674 10031947532846007674 Yes Department of General and Vascular Surgery, Shohada-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Negin Yavari 10031947532846007675 10031947532846007675 No Research Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran