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Reverse Thenar Perforator Flap for Large Palmar and Digital Defects
Mehmet Tapan1, Murat İğde2, Ali Rıza Yıldırım3
1Department of Plastic Reconstructive and Aesthetic Surgery, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey.
The Journal of Hand Surgery
|May 15, 2018
Summary
The reverse thenar perforator flap offers a new solution for reconstructing large palmar and digital skin defects. This technique provides excellent aesthetic outcomes for hand reconstruction.
Area of Science:
- Plastic Surgery
- Hand Surgery
- Reconstructive Surgery
Background:
- Reconstructing large palmar and digital defects presents significant challenges.
- Glabrous palm skin offers optimal color and texture match for hand defects.
Purpose of the Study:
- To evaluate the effectiveness of the reverse thenar perforator flap for large palmar defects.
- To assess the flap's suitability for radial-sided palmar and digital reconstruction.
Main Methods:
- Utilizing the reverse thenar perforator flap for primary closure of glabrous palmar skin defects.
- Assessing the flap's origin from source vessels for reconstructive suitability.
Main Results:
- The reverse thenar perforator flap enables primary closure of large glabrous palmar defects.
- This flap is well-suited for radial-sided palmar and digital defects due to its vascular supply.
- Good aesthetic results were achieved for both the flap donor and recipient sites.
Conclusions:
- The reverse thenar perforator flap is an effective method for reconstructing large palmar and digital defects.
- It offers a viable option for achieving excellent aesthetic outcomes in hand reconstruction.
- This technique addresses previously unmet needs in reconstructive surgery for the hand.
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