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KMID : 0358819800070020413
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1980 Volume.7 No. 2 p.413 ~ p.419
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Restoring Sensibility to the Injured Thumb by Neurovascular Island Flap Transfer
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李在雄/Lee, Jae Woong
許垠/趙文濟/林豊/Hur, Eun/Cho, Moon Je/Lim, Poong
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Abstract
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A loss of skin over the pulp of the fingers and thumb creates a problem for its replacement with suitable skin having a sensory nerve supply to restore optimum sensation.
In many techniques which developed to restore sensation of the injured fingers, the neurovascular island flap is known to be a most acceptable procedure. Obviously, there are some advantages in using this procedure and which are: (1) It provides normal or nearly normal sensation following transplantation. (2) Its pedicle can help to improve the nutrition of a finger that has been severely damaged. (3) Depending on the donor site, it provides same quality of skin to the pulp loss. (4) The transfer of the flap can be easily performed by its long pedicle without tension.
We experienced a case of neurovascular island flap transfer to the anesthetic right thumb which had been covered by an abdominal skin flap after degloving injury. The flap was transferred from the ulnar side of the middle finger to the tactile aspect of the thumb. The two-point descrimination of the transferred flap checked at 10th postoperative day was 4-5 mm as normal range and any complications such as pain, hypersensitivity or paresthesia did not occur. The patient could use her thumb with restored facility in holding object.
We present this case with a brief review of the references.
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