TY - JOUR KW - Adult KW - Cohort Studies KW - Female KW - Forehead KW - Hand Deformities, Acquired KW - Humans KW - Male KW - Microsurgery KW - Middle Aged KW - Muscular Atrophy KW - Retrospective Studies KW - Scalp KW - Surgical Flaps KW - Treatment Outcome KW - Ulnar Neuropathies AU - Kruavit A AU - Visuthikosol V AB -

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.

BT - Microsurgery C1 - http://www.ncbi.nlm.nih.gov/pubmed/19530085?dopt=Abstract DA - 2010 DO - 10.1002/micr.20677 IS - 1 J2 - Microsurgery LA - eng N2 -

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.

PY - 2010 SP - 8 EP - 12 T2 - Microsurgery TI - Temporoparietal fascial free flap for correction of first web space atrophy. VL - 30 SN - 1098-2752 ER -