A new surgical procedure for little toe polysyndactyly without skin graft

Annals of Plastic Surgery
Naoshige Iida, Ayako Kotake


We developed a new operative procedure involving the combination of 5 flaps to treat little toe polysyndactyly. We applied this procedure to 4 toes of 3 patients who had severe polysyndactyly involving skin fusion of the area from the distal interphalangeal joint to the periphery. In all 3 patients, this procedure allowed easy transfer of the flaps, caused no tension to the wound during skin suturing, and did not disrupt blood flow through the flap. The morphology of all 4 toes was favorable, and no scarring was evident. A sufficiently deep fourth interdigital space was created with this procedure without the need for skin grafting.


Oct 1, 1992·British Journal of Plastic Surgery·K OnishiT Aoki
Jul 1, 1995·British Journal of Plastic Surgery·Y Itoh, K Arai
Sep 1, 1996·Plastic and Reconstructive Surgery·S ParkM Minegishi
Jun 29, 2004·Plastic and Reconstructive Surgery·Ayato HayashiTatsunori Seki
Jul 28, 2004·Plastic and Reconstructive Surgery·Ayato HayashiMasanobu Nishida

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Jul 24, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Naoto YamadaEiju Uchinuma
Oct 19, 2016·Annales de chirurgie plastique et esthétique·B SalazardA Gaudeuille
Aug 19, 2016·Plastic and Reconstructive Surgery. Global Open·Naoshige Iida, Ayako Watanabe
May 17, 2017·Plastic and Reconstructive Surgery. Global Open·Toru MiyanagaAkiko Yamashita

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