Journal of Japanese Society of Reconstructive Microsurgery
Online ISSN : 2185-9949
Print ISSN : 0916-4936
ISSN-L : 2185-9949
Miscellaneous : Secondary Publication
Analysis of the Survival of Arterialized Venous Toenail Flaps with Reference to Changes in Blood Circulation during the Postoperative Period in 2 Patients
Naohiro ISHIIYusuke SHIMIZUMarie AOKIAyaka SUZUKIKazuo KISHI
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2020 Volume 33 Issue 3 Pages 178-181

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Abstract

Various techniques for nail reconstruction have been reported until now; however, a simple one providing good esthetic results was difficult to find. Arterialized venous toenail flap is a free flap that includes the nail bed and matrix with a pedicle formed solely by the subcutaneous vein of the toe. The use of this flap is minimally invasive, easy, and the flap has a high survival rate. The mechanism of graft survival remains unknown given the non-physiological circulation. To the best of our knowledge, no studies have explained this mechanism with reference to detailed postoperative course. We herein present two cases of nail reconstruction performed using arterialized venous toenail flap. We analyzed the postoperative course in detail, which enabled us to postulate on the mechanism of graft survival.

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© 2020 Japanese Society of Reconstructive Microsurgery
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