Mahendra Daya1. 1. Department of Plastic and Reconstructive Surgery, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.
Abstract
BACKGROUND: Constriction bands in the majority of cases presents as a contour deformity. The gold standard of treatment is a single-stage constriction ring excision and serial Z-plasty. The expense is unsightly scarring. We present case reports of deformity correction by serial fat injections. METHODS AND PARTICIPANTS: Three case studies of children in whom this modality was used in limbs to correct the deformity are presented. RESULTS: Two participants showed a good correction of the deformity and in a single-case treatment failed requiring excision and serial Z-plasty for correction. CONCLUSION: Fat injection in combination with Khouri's technique of aponeurotomies is an attractive modality of managing superficial constriction bands of limbs.
BACKGROUND: Constriction bands in the majority of cases presents as a contour deformity. The gold standard of treatment is a single-stage constriction ring excision and serial Z-plasty. The expense is unsightly scarring. We present case reports of deformity correction by serial fat injections. METHODS AND PARTICIPANTS: Three case studies of children in whom this modality was used in limbs to correct the deformity are presented. RESULTS: Two participants showed a good correction of the deformity and in a single-case treatment failed requiring excision and serial Z-plasty for correction. CONCLUSION: Fat injection in combination with Khouri's technique of aponeurotomies is an attractive modality of managing superficial constriction bands of limbs.
Entities:
Keywords:
Rigottomies; amniotic bands of the limbs; aponeurotomies; constriction rings of the limbs; contour deformities; fat injection or infiltration; lipofilling