01747nas a2200325   4500000000100000008004100001260000900042653001000051653001900061653001100080653001300091653003100104653001100135653000900146653001700155653001600172653002100188653002600209653001000235653001900245653002200264653002300286100001400309700001900323245008100342300000900423490000700432520096800439022001401407       2010                            d  c201010aAdult10aCohort Studies10aFemale10aForehead10aHand Deformities, Acquired10aHumans10aMale10aMicrosurgery10aMiddle Aged10aMuscular Atrophy10aRetrospective Studies10aScalp10aSurgical Flaps10aTreatment Outcome10aUlnar Neuropathies1 aKruavit A1 aVisuthikosol V00aTemporoparietal fascial free flap for correction of first web space atrophy.  a8-120 v303 a<p>Fourteen temporoparietal fascial free flaps were used for correction of first web space atrophy from ulnar nerve palsy in 13 patients. Ten sustained ulnar nerve injuries and three suffered from leprosy. The procedures were performed under general anesthesia except one leprosy patient with bilateral ulnar nerve palsy in which local anesthesia and brachial block were employed to harvest bilateral free flaps and recipient site preparations, respectively. The follow-up time varied from 4 to 64 months. The postoperative results were satisfactory and there was no resorption of the free flaps. The consistency of the augmented first web space was soft and compressible like natural feel. The size of the flap was more than enough for augmentation of first web space and donor site morbidity was minimal and accepted by all patients. We conclude that temporoparietal fascial free flap is an ideal autogenous tissue for correction of first web space atrophy.</p>  a1098-2752