Eponychial Reconstruction in Digits with a Novel Digital Artery Perforator Flap (EDAP Flap)

The eponychium and nail fold of the digits have unique anatomy with limited options for reconstruction. Six consecutive cases between 2019 and 2024 with eponychial and nail fold loss were reconstructed successfully with a novel digital artery perforator flap: the eponychial digital artery perforator flap. The flap is vascularized by a dorsal subbranch of the transverse branch of the digital artery proper. In this article, the technique, nuances in design, and outcomes are described. Variations in design are illustrated according to defect size and location. This like-for-like simple reconstruction, which provides positive functional and aesthetic outcomes, represents a simple solution to an otherwise challenging reconstruction.