The ipsilateral paraumbilical flap is frequently employed in upper extremity reconstruction. However, the contralateral paraumbilical flap offers a robust alternative for addressing complex volar distal forearm wounds, particularly when local tissue options are inadequate. This case report presents our experience utilizing a contralateral paraumbilical flap in the reconstruction of a right volar distal forearm defect following
an electrical burn injury in an 8-year-old male patient.

The patient, who sustained a high-voltage electrical burn injury, underwent staged reconstruction from November 2023 to January 2024. A contralateral paraumbilical fasciocutaneous flap measuring 6 x 10 cm was raised and used for wound coverage. The patient reported satisfaction with the reconstructive outcome, expressing contentment with the overall functionality, despite the loss of the thumb and little finger. The flap provided stable coverage of vital structures with minimal donor site morbidity.

In conclusion, the contralateral paraumbilical flap is an effective reconstructive option for distal volar forearm defects, particularly in cases involving severe electrical injuries.
This approach is characterized by ease of harvest, reliable vascularity, and a favorable profile of donor site complications.

Keywords: contralateral paraumbilical flap, upper extremity reconstruction, forearm volar defect.