Constriction Band Syndrome

Visuthikosol, Vivat; Hompuem, Tanin

doi:10.1097/00000637-198811000-00017

Cited by 19 publications

(29 citation statements)

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“…In this series, all children were corrected in one stage, and there has been no patient with circulatory compromise postoperatively. This agrees with earlier studies that defend the one-stage approach [8,[16][17][18]. Indeed, this technique offers excellent results with great safety and simplicity in application.…”

Section: Discussionsupporting

confidence: 91%

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Mutaf procedure: expanding the indications

El-Sabbagh

2011

Eur J Plast Surg

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Depressed scars may be congenital or acquired. Different methods have been widely used for the correction of these deformities. The Mutaf procedure was described previously for the correction of the constriction ring syndrome. In this article, the indication was expanded to include non-congenital scars. Eighteen patients underwent the Mutaf procedure for depressed scar correction. These scars included congenital and non-congenital scars. It was applied to both upper and lower limbs. All flaps survived completely with only one minor complication. The Mutaf procedure is an effective method for correction of large depressed scars.

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Section: Discussionsupporting

confidence: 91%

“…This agrees with the results obtained by Mutaf [8]. The major concern of surgeons who preferred multistage approaches was the potential risk of a circulatory compromise after surgery [14][15][16][17]. In this series, all children were corrected in one stage, and there has been no patient with circulatory compromise postoperatively.…”

Section: Discussionsupporting

confidence: 89%

Mutaf procedure: expanding the indications

El-Sabbagh

2011

Eur J Plast Surg

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“…The customary techniques described in many references to close the skin are mainly Z-plasty or W-plasty (10,(14)(15)(16)(17)(18)(19). In 2006, Mutaf and Sunay (21) suggested the use of a rectangularplasty technique, aligning the major rectangular limbs in parallel with the relaxed skin tension lines (21).…”

Section: Discussionmentioning

confidence: 99%

“…Concerning the treatment of CCBS, most references recommend the use of Z-plasty or W-plasty after the excision of oRiginal aRticle ©2008 Pulsus Group Inc. All rights reserved the constriction band, in a one-or two-stage approach (10,(14)(15)(16)(17)(18)(19). In the present study, we describe how the use of direct closure yields improved scarring and superior cosmetic results, without compromising the limb.…”

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confidence: 99%

Surgical correction of congenital constriction band syndrome in children: Replacing Z-plasty with direct closure

Choulakian¹,

Williams²

2008

CAN J PLAST SURG

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Congenital constriction band syndrome is a sporadic condition that may also be present in association with other congenital anomalies. It has an incidence varying from one in 1200 to one in 15,000 live births. There is a significant predilection for the upper extremities and distal limbs. The two main objectives for the treatment of congenital constriction band syndrome are improvement of function and improvement of cosmetic appearance. Different surgical techniques, such as Z-plasty, have been described and used for decades; however, direct closure after the excision of the constricting band seems to be the simplest and most appropriate, allowing the fatty tissue to naturally reposition itself under the skin. This technique is used in a twostage approach to avoid affecting distal circulation to the limb. Key Words: Amniotic bands; Congenital constriction band syndrome; Direct closure; Z-plastyCorrection chirurgicale du syndrome des brides amniotiques chez les enfants : Remplacement de la plastie en Z par une fermeture directe Le syndrome des brides amniotiques est une maladie sporadique qui peut également se manifester en association avec d'autres anomalies congéni-tales. Son incidence varie de 1 pour 1 200 à 1 pour 15 000 naissances vivantes. La maladie semble affecter significativement plus les membres supérieurs et les extrémités. Le principal objectif du traitement du syndrome des brides amniotiques est l'amélioration à la fois fonctionnelle et esthétique. Différentes techniques chirurgicales, comme la plastie en Z, ont été décrites et sont utilisées depuis des décennies. Toutefois, la fermeture directe après excision des brides constrictives semble plus simple et plus appropriée, car elle permet une répartition plus naturelle des tissus adipeux sous la peau. Cette approche s'applique en deux étapes pour éviter d'affecter la circulation distale dans les membres.

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“…This concept, first propagated by Stevensons [7], is advocated by many surgeons [12,15,[24][25][26][27][28][29]. However, several reports of the one-stage release of a congenital constriction band have been reported in the literature [8,19,22,23,30,31] with good outcomes. Studies on the circulation to the skin flaps [32] have found that the blood supply to the skin is primarily from the musculocutaneous arteries that directly penetrate the subcutaneous and cutaneous tissue from underlying muscles.…”

Section: The Technique Of Sine Plastymentioning

confidence: 99%

Congenital constriction ring in children: Sine plasty combined with removal of fibrous groove and fasciotomy

Hưng

2012

Journal of Children's Orthopaedics

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Objective To evaluate the clinical and functional results of a technical procedure used in the surgical treatment of congenital constriction ring (CCR) in children. Materials and methods This was a retrospective study undertaken to evaluate the results of surgical techniques performed from January 1995 to December 2005 on 95 patients with 134 congenital constriction bands. Due to the drop-out of nine patients during follow-up, data on 86 patients (121 congenital constriction rings; average age at surgery 1 year 2 months) were analyzed. The extent of the constrictions was classified by according to the Patterson criteria. All patients were treated by two-stage sine plasty combined with removal of the fibrous groove and fasciotomy, with one-half of the ring removed during the first stage and the other half removed 1 week later during the second state. The surgical outcomes were assess according to the Moses criteria. Results Three types of CCR (Patterson criteria) were identified among the 86 patients (121 constriction rings): types I (5 patients, 4.1 %), II (107, 88.5 %), III (9, 7.4 %). Of the 121 constriction rings, good results were attained in 73.6 % and fair results in 26.4 %. Sensory deficits were seen in six patients immediately after the surgery but all six had improved to a normal condition at the final follow-up examination. There were no skin necrosis or wound healing problems. Conclusion The combined sine plasty/removal of fibrous groove and fasciotomy method reported here is a simple and safe surgical technique for treating CCR in children.

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Constriction Band Syndrome

Cited by 19 publications

References 0 publications

Mutaf procedure: expanding the indications

Mutaf procedure: expanding the indications

Surgical correction of congenital constriction band syndrome in children: Replacing Z-plasty with direct closure

Congenital constriction ring in children: Sine plasty combined with removal of fibrous groove and fasciotomy

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