Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach

Abstract Background Traditional treatment for a congenital constriction band of the limb involves multiple Z-plasties and W-plasties. We propose an alternative surgical procedure for the treatment of congenital constriction bands that obviates the need for Z-plasties and eliminates the constriction...

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Autores principales: Castro Govea, Yanko, Vela Martínez, Amin, Treviño Garcia, Luis Alberto
Formato: Artículo
Lenguaje:inglés
Publicado: 2016
Materias:
Acceso en línea:http://eprints.uanl.mx/18086/1/408.pdf
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author Castro Govea, Yanko
Vela Martínez, Amin
Treviño Garcia, Luis Alberto
author_facet Castro Govea, Yanko
Vela Martínez, Amin
Treviño Garcia, Luis Alberto
author_sort Castro Govea, Yanko
collection Repositorio Institucional
description Abstract Background Traditional treatment for a congenital constriction band of the limb involves multiple Z-plasties and W-plasties. We propose an alternative surgical procedure for the treatment of congenital constriction bands that obviates the need for Z-plasties and eliminates the constriction band. Methods We present the case of a 36-year-old woman with a congenital constriction band of the leg. Using a minimally invasive approach, the skin segment that included the band was dissected from the deep tissues. Afterwards, multiple slices were performed on the internal surface of the fibrous ring. This and lipoinjection were used to reverse the depression that characterizes the ‘‘hourglass sign’’ and homogenize the skin surface. Results Results have remained stable in a follow-up period of 18 months. Conclusions This surgical alternative can be considered as an option for the treatment of congenital constriction bands. It is a safe, reproducible procedure that does not cause additional scars and has good functional and aesthetic results. Level of evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Congenital constriction band � Lipoinjection � Lipoinfiltration � ‘‘hourglass sign’’ � Congenital ring constrictions � Fibrous ring � Amniotic band
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spelling eprints-180862022-03-05T13:14:36Z http://eprints.uanl.mx/18086/ Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach Castro Govea, Yanko Vela Martínez, Amin Treviño Garcia, Luis Alberto R Medicina en General Abstract Background Traditional treatment for a congenital constriction band of the limb involves multiple Z-plasties and W-plasties. We propose an alternative surgical procedure for the treatment of congenital constriction bands that obviates the need for Z-plasties and eliminates the constriction band. Methods We present the case of a 36-year-old woman with a congenital constriction band of the leg. Using a minimally invasive approach, the skin segment that included the band was dissected from the deep tissues. Afterwards, multiple slices were performed on the internal surface of the fibrous ring. This and lipoinjection were used to reverse the depression that characterizes the ‘‘hourglass sign’’ and homogenize the skin surface. Results Results have remained stable in a follow-up period of 18 months. Conclusions This surgical alternative can be considered as an option for the treatment of congenital constriction bands. It is a safe, reproducible procedure that does not cause additional scars and has good functional and aesthetic results. Level of evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Congenital constriction band � Lipoinjection � Lipoinfiltration � ‘‘hourglass sign’’ � Congenital ring constrictions � Fibrous ring � Amniotic band 2016-12-29 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/18086/1/408.pdf http://eprints.uanl.mx/18086/1.haspreviewThumbnailVersion/408.pdf Castro Govea, Yanko y Vela Martínez, Amin y Treviño Garcia, Luis Alberto (2016) Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach. Aesthetic plastic surgery, 41 (2). pp. 375-380. ISSN 0364-216X http://doi.org/10.1007/s00266-016-0744-4 doi:10.1007/s00266-016-0744-4
spellingShingle R Medicina en General
Castro Govea, Yanko
Vela Martínez, Amin
Treviño Garcia, Luis Alberto
Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach
title_full Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach
title_fullStr Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach
title_full_unstemmed Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach
title_short Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach
title_sort lipoinjection and multiple internal cuts for congenital constriction bands a new treatment approach
topic R Medicina en General
url http://eprints.uanl.mx/18086/1/408.pdf
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