Hands defect coverage needs thin and pliable flaps. Few free flaps such as free temporoparietal flap are adequate. It provides moderate donor scar and unique range of motion for tendinous coverage. We expose three cases of hand reconstruction: two dorsal coverage with tendinous exposition and reconstruction and one thumb coverage. The postoperative results were satisfactory concerning hands. One patient developed alopecia and dysesthesis on scalp. We think that this flap is a good alternative for serratus free fascial flap.
Service de Chirurgie Maxillofaciale et Plastique, Hôpital Central, CHU de Nancy, 29 Avenue du Maréchal-de-Lattre-de-Tassigny, CO 34, 54035 Nancy Cedex, France. julien.pujo@free.fr