Arch Hand Microsurg.  2022 Dec;27(4):306-310. 10.12790/ahm.22.0041.

Circumferential resurfacing using the bilateral hypothenar free flaps in a patient with finger squamous cell carcinoma patient: a case report

• Oh Js
• Choi W
• Eun S

• KMID: 2536217
• DOI: http://doi.org/10.12790/ahm.22.0041

Abstract

Soft tissue reconstruction of a circumferentially degloved finger is a major challenge. A 64-year-old male patient with underlying diabetes and hypertension presented with biopsy-proven squamous cell carcinoma involving his entire finger. The entirety of his finger was circumferentially degloved to obtain a safety margin. The finger was reconstructed using bilateral free hypothenar flap, and the patient recovered without any complications.

Keyword

Fingers; Circumferential; Degloving injuries; Free tissue flap

Figure

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  Fig. 1. (A) Preoperative photographs showing squamous cell carcinoma encompassing the entire right index finger from the distal phalanx to the mid-phalanx level. (B) The magnetic resonance imaging shows diffuse enhancing of thickening of dermal and subcutaneous layer at 2nd finger middle to distal phalanx without evidence of bone invasion.

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  Fig. 2. Photographs of the degloved right index finger after wide excision of the skin lesion.

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  Fig. 3. Immediate postoperative photograph showing circumferential finger resurfacing using two free hypothenar flaps.

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  Fig. 4. Postoperative 20-month photographs (A) and X-rays (B).

Reference

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