Surgical correction of congenital constriction band syndrome in children: Replacing Z-plasty with direct closure
Identifieur interne : 002D23 ( Pmc/Curation ); précédent : 002D22; suivant : 002D24Surgical correction of congenital constriction band syndrome in children: Replacing Z-plasty with direct closure
Auteurs : Mazen Yohanness Choulakian ; H Bruce Williams [Canada]Source :
- The Canadian Journal of Plastic Surgery [ 1195-2199 ] ; 2008.
Abstract
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 two-stage approach to avoid affecting distal circulation to the limb.
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PubMed: 19949501
PubMed Central: 2691027
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Mazen Yohanness Choulakian<affiliation><nlm:aff id="af1-cjps16221">Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Quebec</nlm:aff>
<wicri:noCountry code="subfield">Quebec</wicri:noCountry>
</affiliation>
Le document en format XML
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<author><name sortKey="Choulakian, Mazen Yohanness" sort="Choulakian, Mazen Yohanness" uniqKey="Choulakian M" first="Mazen Yohanness" last="Choulakian">Mazen Yohanness Choulakian</name>
<affiliation><nlm:aff id="af1-cjps16221">Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Quebec</nlm:aff>
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<author><name sortKey="Williams, H Bruce" sort="Williams, H Bruce" uniqKey="Williams H" first="H Bruce" last="Williams">H Bruce Williams</name>
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<series><title level="j">The Canadian Journal of Plastic Surgery</title>
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<front><div type="abstract" xml:lang="en"><p>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 two-stage approach to avoid affecting distal circulation to the limb.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Can J Plast Surg</journal-id>
<journal-id journal-id-type="publisher-id">PGI</journal-id>
<journal-title-group><journal-title>The Canadian Journal of Plastic Surgery</journal-title>
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<issn pub-type="ppub">1195-2199</issn>
<publisher><publisher-name>Pulsus Group Inc</publisher-name>
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<article-meta><article-id pub-id-type="pmid">19949501</article-id>
<article-id pub-id-type="pmc">2691027</article-id>
<article-id pub-id-type="publisher-id">cjps16221</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Surgical correction of congenital constriction band syndrome in children: Replacing Z-plasty with direct closure</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Choulakian</surname>
<given-names>Mazen Yohanness</given-names>
</name>
<xref ref-type="aff" rid="af1-cjps16221">1</xref>
<xref ref-type="corresp" rid="c1-cjps16221"></xref>
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<contrib contrib-type="author"><name><surname>Williams</surname>
<given-names>H Bruce</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af2-cjps16221">2</xref>
</contrib>
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<aff id="af1-cjps16221"><label>1</label>
Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Quebec</aff>
<aff id="af2-cjps16221"><label>2</label>
Division of Pediatric Plastic Surgery, Montreal Children’s Hospital, McGill University, Montreal, Quebec</aff>
<author-notes><corresp id="c1-cjps16221">Correspondence: Mr Mazen Yohanness Choulakian, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, 3001 12<sup>e</sup>
Avenue Nord, Sherbrooke, Quebec J1H 5N4. Telephone 819-212-3456, fax 819-564-5378, e-mail
<email>mazen.choulakian@usherbrooke.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Winter</season>
<year>2008</year>
</pub-date>
<volume>16</volume>
<issue>4</issue>
<fpage>221</fpage>
<lpage>223</lpage>
<permissions><copyright-statement>© 2008, Pulsus Group Inc. All rights reserved</copyright-statement>
</permissions>
<abstract><p>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 two-stage approach to avoid affecting distal circulation to the limb.</p>
</abstract>
<trans-abstract xml:lang="fr"><p>Le syndrome des brides amniotiques est une maladie sporadique qui peut également se manifester en association avec d’autres anomalies congénitales. 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.</p>
</trans-abstract>
<kwd-group><kwd>Amniotic bands</kwd>
<kwd>Congenital constriction band syndrome</kwd>
<kwd>Direct closure</kwd>
<kwd>Z-plasty</kwd>
</kwd-group>
</article-meta>
</front>
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</record>
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