title: Technique of Dorsal Transversely Oriented Transposition Flap for Web Reconstruction in Toe Syndactyly Surgery.
abstract: In toe desyndactyly, a dorsal or plantar commissural flap, combined with skin grafts, will ensure an acceptable result. However, the parallel unsightly scars in the longitudinal direction on the dorsum of the toes will sometimes fail to satisfy the patient's and/or the parents' aesthetic expectations. To address this issue, we developed a technique using a transversely oriented transposition flap for web reconstruction, which can spare the dorsal interdigital skin maximally to shift the dorsal scars plantarly such that they become inconspicuous. The design of the flap is simple and uncomplicated surgically. Moreover, the donor site morbidity is minimal, owing to the good healing potential of the transverse scars. This technique could be an alternative in web reconstruction of toe desyndactyly, especially in cases with high cosmetic priority.
authors.affiliation: Assistant Professor, Department of Plastic and Reconstructive Surgery, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Kyoto, Japan. Electronic address: susumus@kuhp.kyoto-u.ac.jp.
authors.forename: Susumu
authors.initials: S
authors.lastname: Saito
authors.affiliation: Chief, Department of Plastic and Reconstructive Surgery, Tazukekofukai Medical Research Institute, Institute Kitano Hospital, Osaka, Japan.
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Suzuki
authors.affiliation: Professor, Department of Plastic and Reconstructive Surgery, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Kyoto, Japan.
authors.forename: Shigehiko
authors.initials: S
authors.lastname: Suzuki
mesh_terms: D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures; D016038:Skin Transplantation; D013524:Surgical Flaps; D013576:Syndactyly / Q000601:surgery*; D014034:Toes / Q000002:abnormalities* / Q000601:surgery*
keywords: flap; polysyndactyly; surgery; syndactyly; toe