Reverse Thenar Perforator Flap for Large Palmar and Digital Defects

被引:9
作者
Tapan, Mehmet [1 ]
Igde, Murat [2 ]
Yildirim, Ali Riza [3 ]
Yasar, Burak [2 ]
Ergani, Hasan Murat [2 ]
Duru, Cagdas [2 ]
机构
[1] Izmir Bozyaka Training & Res Hosp, Dept Plast Reconstruct & Aesthet Surg, Saim Cikrikci St 59, Izmir, Turkey
[2] Ankara Numune Training & Res Hosp, Dept Plast Reconstruct & Aesthet Surg, Ankara, Turkey
[3] Igdir Publ Hosp, Dept Plast Reconstruct & Aesthet Surg, Igdir, Turkey
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2018年 / 43卷 / 10期
关键词
Digital defects; glabrous skin flaps; radial-sided hand defects; the reverse thenar perforator flap; HAND; RECONSTRUCTION; AREA;
D O I
10.1016/j.jhsa.2018.03.038
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Reconstruction of large, full-thickness palmar and digital defects is challenging. The glabrous skin of the palm provides excellent color and texture match for palmar hand and digital defects. The reverse thenar perforator flap, which was previously infrequently used, provides a method for primary closure of large glabrous palmar skin defects. Because of the origin of the source vessels, the reverse thenar perforator flap is a good choice for larger radial-sided palmar and finger defects. This flap provides good aesthetic results for both the donor and the recipient. (Copyright (C) 2018 by the American Society for Surgery of the Hand. All rights reserved.)
引用
收藏
页码:956.e1 / 956.e6
页数:6
相关论文
共 14 条
  • [1] A morphometric study on the superficial palmar arch of the hand
    Bilge, O.
    Pinar, Y.
    Ozer, M. A.
    Goevsa, F.
    [J]. SURGICAL AND RADIOLOGIC ANATOMY, 2006, 28 (04) : 343 - 350
  • [2] Radial midpalmar island flap
    Kim, KS
    Hwang, JH
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2005, 116 (05) : 1332 - 1339
  • [3] Partial second toe pulp free flap for fingertip reconstruction
    Lee, Dong Chul
    Kim, Jin Soo
    Ki, Sae Hwi
    Roh, Si Young
    Yang, Jae Won
    Chung, Kevin C.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2008, 121 (03) : 899 - 907
  • [4] A cadaver study on volume and surface area of the fingertip
    Murai, M
    Lau, HK
    Pereira, BP
    Pho, RWH
    [J]. JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1997, 22A (05): : 935 - 941
  • [5] Anatomical consideration of reverse-flow island flap transfers from the midpalm for finger reconstruction
    Omokawa, S
    Tanaka, Y
    Ryu, J
    Clovis, N
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2001, 108 (07) : 2020 - 2025
  • [6] Vascular and neural anatomy of the thenar area of the hand: Its surgical applications
    Omokawa, S
    Ryu, JY
    Tang, JB
    Han, JS
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 1997, 99 (01) : 116 - 121
  • [7] Orbay Jorge L, 2009, Tech Hand Up Extrem Surg, V13, P145, DOI 10.1097/BTH.0b013e3181ac9183
  • [8] Reverse thenar perforator flap for volar hand reconstruction
    Seyhan, Tamer
    [J]. JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2009, 62 (10) : 1309 - 1316
  • [9] UPTON J, 1992, CLIN PLAST SURG, V19, P841
  • [10] Homodigital artery flap reconstruction for fingertip amputation: a comparative study of the oblique triangular neurovascular advancement flap and the reverse digital artery island flap
    Usami, S.
    Kawahara, S.
    Yamaguchi, Y.
    Hirase, T.
    [J]. JOURNAL OF HAND SURGERY-EUROPEAN VOLUME, 2015, 40 (03) : 291 - 297