Flaps Based on Palmar Vessels

Panse, Nikhil; Bindu, Ameya

doi:10.1016/j.hcl.2019.08.006

Cited by 5 publications

(2 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Skin defects on the palmar side of the fingers have specific characteristics and are defined as glabrous tissue. Glabrous skin of the palm provides the best color and texture match for the reconstruction of these defects (Panse & Bindu, 2020). Pulp defects can be successfully reconstructed by homodigital and heterodigital flaps (Katz, 2013; Tay & Tan, 2020).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Syndactylized glabrous flaps for multiple finger palmar defects

Güntürk,

Erol,

Gürbüz

et al. 2024

Microsurgery

View full text Add to dashboard Cite

BackgroundPalmar finger or pulp defects require coverage with glabrous tissue to achieve a good match with the lost tissue. The management of multiple finger palmar or pulp defects is challenging because these defects may not always be suitable for local or pedicled flaps. In such situations, syndactylizing free or pedicled flaps can be used.Patients and methodsWe evaluated the results of free glabrous flaps syndactylizing across multiple finger defects. The two flaps used were the superficial branch of the radial artery (SUPBRA) flap and hypothenar free flap. Seven syndactylized glabrous free flaps were used to cover the defects in 16 fingers. The functional results and complaints were also assessed.ResultsMean flap size was 14.35 cm2. Six flaps survived. Postoperative evaluation data were obtained for the 13 fingers. All the patients returned to their previous work. All patients had a diminished protective sensation of at least 4.31 according to the SWM test. The mean two‐point discrimination score of the patients was 9.9 mm (7–14). One finger had a PIP joint flexion contracture of 30°, no donor‐site complaints were observed.ConclusionThe advantages of these flaps include single operation site, strong glabrous tissue coverage, low risk of flexion contracture, and adequate tissue size for large defects. Disadvantages include two‐stage and complex microsurgical operations, prolonged treatment, and hospital stay.

show abstract

Section: Discussionmentioning

confidence: 99%

“…provides the best color and texture match for the reconstruction of these defects (Panse & Bindu, 2020). Pulp defects can be successfully reconstructed by homodigital and heterodigital flaps (Katz, 2013;Tay & Tan, 2020).…”

Section: Case Reportsmentioning

confidence: 99%