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

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. ME...

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Autores principales: Castro-Govea, Yanko, Vela-Martinez, Amin, Treviño-Garcia, Luis Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5371641/
https://www.ncbi.nlm.nih.gov/pubmed/28035448
http://dx.doi.org/10.1007/s00266-016-0744-4
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author Castro-Govea, Yanko
Vela-Martinez, Amin
Treviño-Garcia, Luis Alberto
author_facet Castro-Govea, Yanko
Vela-Martinez, Amin
Treviño-Garcia, Luis Alberto
author_sort Castro-Govea, Yanko
collection PubMed
description 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.
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spelling pubmed-53716412017-04-12 Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach Castro-Govea, Yanko Vela-Martinez, Amin Treviño-Garcia, Luis Alberto Aesthetic Plast Surg Innovative Techniques 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. Springer US 2016-12-29 2017 /pmc/articles/PMC5371641/ /pubmed/28035448 http://dx.doi.org/10.1007/s00266-016-0744-4 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Innovative Techniques
Castro-Govea, Yanko
Vela-Martinez, Amin
Treviño-Garcia, Luis Alberto
Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach
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 Innovative Techniques
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5371641/
https://www.ncbi.nlm.nih.gov/pubmed/28035448
http://dx.doi.org/10.1007/s00266-016-0744-4
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