Free Temporoparietal Fascial Flap for Coverage of a Large Palmar Forearm Wound After Hand Replantation

ABSTRACT

A free temporoparietal fascial flap with a split-thickness skin graft was used to cover a large palmar forearm wound in a patient whose hand had been replanted 21 days earlier after traumatic amputation at the distal forearm level. At a 39-month follow-up, the patient had achieved an excellent cosmetic and functional result, with no alopecia or facial nerve injury. The flap is advantageous for coverage of wounds that require a large amount of thin, pliable tissue, and it leaves a concealed donor-site scar.

KEYWORD

Free fascial flap - hand replantation - skin graft - temporoparietal fascia

REFERENCES

• 1 Smith R A. The free fascial scalp flap.  Plast Reconstr Surg . 1980;  66 204
• 2 Upton J, Rogers C, Durham-Smith G, Swartz W M. Clinical applications of free temporoparietal flaps in hand reconstruction.  J Hand Surg . 1986;  11A 475
• 3 Hing D N, Buncke H J, Alpert B S. Use of the temporoparietal free fascial flap in the upper extremity.  Plast Reconstr Surg . 1988;  81 534
• 4 Hirase Y, Kojima T, Band H-H. Double-layered free temporal fascia flap as a two-layered tendon-gliding surface.  Plast Reconstr Surg . 1991;  88 707
• 5 Meland N B, Weimar R. Microsurgical reconstruction: experience with free fascia flaps.  Ann Plast Surg . 1991;  27 1
• 6 Rose E H, Norris M S. The versatile temporoparietal fascial flap: adaptability to a variety of composite defects.  Plast Reconstr Surg . 1990;  85 224