Superthin Thoracodorsal Artery Perforator Flap for the Reconstruction of Palmar Burn Contracture

Plastic and Reconstructive Surgery. Global Open
Yoshitsugu HattoriAtsushi Niu

Abstract

Treating burn scar contractures is challenging. Although free flap transfer is an effective tool for hand reconstruction, free flaps are often bulky, causing functional disturbance and poor cosmetic appearance. Secondary debulking operations are required, resulting in a prolonged total treatment period and delayed return to daily life and work for the patient. Therefore, 1-stage reconstruction using a thin and pliable flap is ideal. In this report, we present the superthin TDAP flap as an option for the reconstruction of postburn palmar contracture. During TDAP flap elevation, the thoracodorsal artery perforator was identified and traced distally until its penetration into the dermis. Subsequently, the subdermal tissue was removed and a uniformly superthin TDAP flap was elevated. Postoperatively, early functional recovery was achieved with excellent palmar contour and texture. No revision surgery was required and no recurrence of contractures occurred during the 6-month follow-up. This procedure is useful in elevating a superthin TDAP flap and is a feasible option for the reconstruction of working surfaces, such as the palm.

References

Jun 1, 1980·Plastic and Reconstructive Surgery·C V Thomas
Jan 12, 2002·Plastic and Reconstructive Surgery·Naohiro Kimura
Mar 9, 2002·Plastic and Reconstructive Surgery·Haluk DumanMustafa Sengezer
Jul 2, 2009·Plastic and Reconstructive Surgery·Fatih UygurHaluk Duman
Sep 9, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Mitsunaga NarushimaIsao Koshima
Sep 1, 2015·Journal of Reconstructive Microsurgery·Kyu Nam KimChi Sun Yoon
Nov 28, 2015·Microsurgery·Youn Hwan KimSang Wha Kim
Apr 18, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Mitsunaga NarushimaIsao Koshima
Aug 28, 2018·Plastic and Reconstructive Surgery·Mitsunaga NarushimaIsao Koshima

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