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Corresponding Author

Mohamed Hesham Mohamed Hegazy

Document Type

Original Article

Abstract

Background: The aesthetic replacement of palm and digit soft tissue remains a challenge due to the unique texture, color, sensitivity, and structural characteristics of glabrous Palamar skin. The reverse thenar perforator flap, first defined by Seyhan, offers a smooth skin option for repairing damaged soft tissue.

Objective: To review the vascularity of the reverse thenar perforator flap using cadaveric dissection and to evaluate its versatility for covering volar hand defects.

Material and Methods: This study was carried out through cadaveric dissection and clinical research. The cadaveric dissection was done on ten cadavers in the morgue of the Al-Azhar Faculty of Medicine. The clinical research involved ten cases of patients suffering from palmar and digital soft tissue defects who were subjected to reconstruction with a reverse thenar perforator flap.

Results: In the cadaveric study, we found that four out of ten cadaveric dissection flaps had three perforators, four had a single perforator, and two had two perforators. Ten cases with soft tissue lesions in the index, palm, thumb, or first web space underwent reconstruction using a reverse thenar perforator flap technique. Flap sizes ranged from 1.6×4.2 to 6×2.4 centimeters, and donor sites were closed directly.

Conclusion: The reverse thenar perforator flap is an elegant option that provides smooth skin for repairing palm, first web, thumb, and index finger abnormalities. It is appropriate for the replacement with a similar tissue' concept with minimal scarring of the donor area.

Keywords

Digital faults; palmar defects; Flaps of Glabrous skin; Reverse thenar perforator flap

Subject Area

Plastic surgery

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