A dictum of reconstruction is to replace like with like.
1Therefore, 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
- Gillies H.D.
Plastic surgery of the face.
Henry Frowde, London1920
- Orkar K.
- Iwuagwu F.
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
3following the original description of this flap by Kamei et al.
- Iwuagwu F.
Palmar flap based on the superficial palmar branch of the radial artery for reconstruction of digital defects.
British Society for Surgery of the Hand Autumn Meeting, NottinghamNovember 2009
- Kamei K.
- Ide Y.
- Kimura T.
A new free thenar flap.
Plast Reconstr Surg. 1993; 92: 1380-1384
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.
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- 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)
- Palmar flap based on the superficial palmar branch of the radial artery for reconstruction of digital defects.British Society for Surgery of the Hand Autumn Meeting, NottinghamNovember 2009 (pp. 12–13)
- A new free thenar flap.Plast Reconstr Surg. 1993; 92: 1380-1384
- Vascular and neural anatomy of the thenar area of the hand: its surgical applications.Plast Reconstr Surg. 1997; 99: 116-121
- Reverse thenar perforator flap for volar hand reconstruction.J Plast Reconstr Aesthet Surg. 2009; 62: 1309-1316
- 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
Published online: September 26, 2011
Accepted: August 24, 2011
Received: March 1, 2011
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.