Skip to main content

Advertisement

SpringerLink
Log in

A new surgical treatment of acne conglobata (bucket-handle flap)

  • Case Report
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

We present the case of a 35-year-old man suffering from severe acne conglobata with significant discharge causing social discomfort and problems for 15 years who was treated with a new surgical technique. There were no complications or recurrence during a 2-year follow-up period. The advantages of this surgical technique are as follows: it does not require a secondary donor site; the flaps have good vascular supply; and it is easy and less time consuming to perform when there is good surgical exposure. The bipedicled random pattern flap (bucket-handle flap) is an alternative surgical technique for cases of acne conglobata which are resistant to medical treatment especially in the gluteal region.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.

Similar content being viewed by others

References

  1. Akers WA, et al (1975) Systemic antibiotics for treatment of acne vulgaris: efficacy and safety. Arch Dermatol 111:1630

    PubMed  Google Scholar 

  2. Atanackovic G, Koren G (1999) Fetal exposure to oral isotretinoin: failure to comply with the pregnancy prevention program. Can Med Assoc J 15:160:1719–1720

    Google Scholar 

  3. Brunsting HA (1952) Hidradenitis and other variants of acne. Arch Dermatol Syphilis 65:303

    Google Scholar 

  4. Camisa C (1984) Squamous cell carcinoma arising in acne conglobata. Cutis 33:185

    CAS  PubMed  Google Scholar 

  5. Chicarilli ZN (1987) Follicular occlusion triad: hidradenitis suppurativa, acne conglobata, and dissecting cellulitis of the scalp. Ann Plast Surg 18:230

    CAS  PubMed  Google Scholar 

  6. Dicken CH, Powell ST, Spear KL (1984) Evaluation of isotretinoin treatment of hidradenitis suppurativa. J Am Acad Dermatol 11:500

    CAS  PubMed  Google Scholar 

  7. Donsky HJ, Mendelson CG (1964) Squamous cell carcinoma as a complication of hidradenitis suppurativa. Arch Dermatol 90:488

    CAS  Google Scholar 

  8. Goeckerman WJ (1951) A case of perifollicularis capitis abscedens et suffodiens, cutis vertices gyrata, hydradenitis. Plast Reconst Surg 7:143

    Google Scholar 

  9. Gogler VH (1989) Zur chirurgischen Therapie der schweren Akne conglobata. Zentralbl Chir 114:13

    Google Scholar 

  10. Jamieson NV (1982) Squamous cell carcinoma arising in a pilonidal sinus presenting with the formation of an abscess. Postgrad Med J 58:720

    CAS  PubMed  Google Scholar 

  11. Kallen B (1999) Restriction of the use of drugs with teratogenic properties: Swedish experiences with isotretinoin. Teratology 60:53

    Article  CAS  PubMed  Google Scholar 

  12. Leyden JJ (1998) The role of isotretinoin in the treatment of acne: personal observations J Am Acad Dermatol 39:45–49

    Google Scholar 

  13. Leyden JJ, Mills OH, Kligman AM (1974) Cryoprobe treatment of acne conglobata. Br J Dermatol 90:335

    CAS  PubMed  Google Scholar 

  14. Nau H (2001) Teratogenicity of isotretinoin revisited: species variation and the role of all-trans-retinoic acid. J Am Acad Dermatol 45:183–187

    Article  Google Scholar 

  15. Perlman SE, Leach EE, Dominguez L, et al (2001) "Be smart, be safe, be sure." The revised Pregnancy Prevention Program for women on isotretinoin. J Reprod Med 46 (Suppl 2):179–185

    CAS  PubMed  Google Scholar 

  16. Sedlin ED, Fleming JL (1963) Epidermoid carcinoma arising in chronic osteomyelitic foci. J Bone Joint Surg 45:827

    Google Scholar 

  17. Shalita AR, Cunningham WJ, Leyden JJ, et al (1983) Isotretinoin treatment of acne and related disorders: an update. J Am Acad Dermatol 9:629

    CAS  PubMed  Google Scholar 

  18. Spitzer L (1901) Dermatitis follicularis et perifollicularis conglobata. Dermatol Z 10:8

    Google Scholar 

  19. Strauss JS, Thiboutot DM (1999) Disease of the Sebaceous Glands. In: Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, Fitzpatrick TB (Eds) Fitzpatrick's dermatology in general medicine, vol.1, 5th edn. McGraw-Hill, New York, pp 769–783

  20. Sulzberger MB, et al (1946) Tropical acne. Med Bull US Navy 46:1178

    Google Scholar 

  21. Wysowski DK, Swann J, Vega A (2002) Use of isotretinoin (Accutane) in the United States: rapid increase from 1992 through 2000. J Am Acad Dermatol 46:505–509

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Türkocagi Cad. 50/3, Balgat, Ankara, Turkey

    G. Aslan

  2. Department of Plastic and Reconstructive Surgery, Ankara Hastanesi, Ankara, Turkey

    N. Sarifakioglu, G. Aslan, A. Terzioglu & L. Atas

Authors
  1. N. Sarifakioglu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. Aslan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. Terzioglu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. L. Atas
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to G. Aslan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sarifakioglu, N., Aslan, G., Terzioglu, A. et al. A new surgical treatment of acne conglobata (bucket-handle flap). Eur J Plast Surg 26, 38–41 (2003). https://doi.org/10.1007/s00238-003-0465-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00238-003-0465-1

Keywords

Search

Navigation