Eponychial reconstruction in digits with a novel Digital Artery Perforator Flap (EDAP flap)

The eponychium and nail fold of the digits have unique anatomy with limited options for reconstruction. Six consecutive cases between 2019 and 2024 with eponychial and nail fold loss were reconstructed successfully with a novel digital artery perforator flap (EDAP flap). The flap is vascularized by a dorsal sub-branch of the transverse branch of the digital artery proper. In this paper, the technique and nuances in design, and outcomes are described. Variations in design are illustrated according to defect size and location. This like-for-like yet simple reconstruction provides a functional and aesthetic outcome. It provides a simple solution to an otherwise challenging reconstruction.