Restoration of the pulp with a homodigital neurovascular flap

A homodigital neurovascular island flap was used to cover extensive loss of finger tip tissue exposing the distal phalanx in twenty cases (16 adults and 3 children). The anatomic and technical aspects of this flap are detailed. In all cases, the reconstructions were considered to be of excellent quality. The study of functional results substantiates the reliability of this island flap, for which sensibility remained good throughout the follow-up period.