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Foot Web Space Transfer for Congenital Syndactyly
Yoko Katsuragi Tomioka1, Mitsunaga Narushima1, Shuji Yamashita1
1Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Plastic and Reconstructive Surgery. Global Open
|January 11, 2021
Summary
Web transplantation offers a novel solution for syndactyly, a congenital hand difference. This microsurgical technique, using an "web for web" approach, provides a safe and effective alternative to traditional methods.
Area of Science:
- Plastic Surgery
- Microsurgery
- Pediatric Surgery
Background:
- Syndactyly management often involves local flaps and skin grafts, but complications like contractures and pigmentation necessitate repeat surgeries.
- Existing treatments for syndactyly can lead to functional and aesthetic challenges, requiring further surgical intervention.
Observation:
- A 1-year-old boy with syndactyly underwent a unique "web for web" transplantation procedure.
- The patient possessed an "extra" web space, enabling a reconstructive approach not previously documented in pediatric literature.
Findings:
- High-resolution ultrasonography assessed vascular patterns, and microsurgical techniques including intravascular stenting ensured flap viability.
- The indocyanine green test confirmed adequate circulation, highlighting the safety and efficacy of the microsurgical procedure.
Implications:
- "Web for web" transplantation presents a favorable, albeit limited, treatment option for specific syndactyly cases.
- This case demonstrates the successful application of advanced microsurgical techniques in pediatric hand reconstruction.
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