Summary
A dictum of reconstruction is to replace like with like.
Therefore, glabrous skin is best replaced with like tissue from the palm or the soles
of the feet. We have previously presented our experience with free tissue from the
palm based on the superficial palmer branch of the radial artery to reconstruct defects
on the volar aspect of the digits
2
,
3
following the original description of this flap by Kamei et al.
4
There are situations where an antegrade pedicled flap from this area lends well as
a choice for reconstruction. We describe the use of a pedicled flap from this axis
for a defect on the radial aspect of the thumb and we believe it is the first report
of its kind.
Keywords
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References
- Plastic surgery of the face.Henry Frowde, London1920
- Free thenar flap for the reconstruction of defects on the volar surface of the digits, winter meeting, BAPRAS.The Royal College of Surgeons, LondonDecember 2007 (pp. 5–7)
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- Free flap from the superficial palmar branch of the radial artery (SPBRA flap) for finger reconstruction.J Trauma. 2009; 66: 1173-1179
- The radial artery superficial palmar branch flap: a modified free thenar flap with constant innervation.J Reconstr Microsurg. 2010 Oct; 26: 529-538
- The glabrous palmar flap: the new free or reversed pedicled palmar fasciocutaneous flap for volar hand reconstruction.Tech Hand Up Extrem Surg. 2009; 13: 145-150
- Radial midpalmar island flap.Plast Reconstr Surg. 2005; 116: 1332-1339
Article info
Publication history
Published online: September 26, 2011
Accepted:
August 24,
2011
Received:
March 1,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
