PMC5921448_01
Linearly arranged nevus comedonicus extending from left anterior chest to left upper back
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F2
His symptoms were particularly severe in the left axilla, which was his main complaint [Figures 2 and 3].
Nevus comedonicus involving left axilla complicated with multiple abscesses
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F3
His symptoms were particularly severe in the left axilla, which was his main complaint [Figures 2 and 3].
Nevus comedonicus extending over the back
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F4
The resulting defect was resurfaced with a transposition flap from left posterior trunk, and the donor site was skin grafted [Figures 4, 5 and 6].
Local flap planned for transposition
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F5
The resulting defect was resurfaced with a transposition flap from left posterior trunk, and the donor site was skin grafted [Figures 4, 5 and 6].
Wide local excision of the left axilla skin and subcutaneous fat, down to the level of deep fascia
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F6
The resulting defect was resurfaced with a transposition flap from left posterior trunk, and the donor site was skin grafted [Figures 4, 5 and 6].
Axillary defect was resurfaced with a transposition flap from left parascapular region and the donor site skin grafted
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F7
The anterior chest wall region was then closed primarily, while the posterior and lower axillary chest wall region was covered with a split-thickness skin graft harvested from the thigh [Figure 7].
Anterior chest wall region was closed primarily and healed well
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F8
However, despite his compliance being suboptimal, his skin-grafted areas and axillary flap settled down well, and he is doing well on long-term follow-up of 2 years [Figures 8, 9 and 10].
Posterior chest wall region covered with a split-thickness skin graft, which has healed well
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F9
However, despite his compliance being suboptimal, his skin-grafted areas and axillary flap settled down well, and he is doing well on long-term follow-up of 2 years [Figures 8, 9 and 10].
Axillary flap settled well on long-term follow-up
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F10
However, despite his compliance being suboptimal, his skin-grafted areas and axillary flap settled down well, and he is doing well on long-term follow-up of 2 years [Figures 8, 9 and 10].