RECONSTRUCTION OF IATROGENIC DORSAL SKIN DEFECTS OF HANDS WITH REVERSE FOREARM FLAPS

Distally based radial and ulnar forearm flaps were employed to reconst ruct iatrogenic dorsal skin defects of hands in young children. The de fects resulted from the extravasation of intravenous medication; flaps were required for reconstruction because the extensor tendons were ex posed in the base of the ulcer in Case 1 and were involved in dense sc ar tissue in Case 2. The reverse forearm flap is an easy and reliable technique requiring short operating time, and it allows initiation of early physiotherapy compared with the other techniques, such as free f lap or an abdominal flap.