Correction of constriction rings.
A refinement in the correction of deep and shallow constriction rings, in which subcutaneous fat and fascial flaps are advanced into the defect to prevent recurrent contour deformities, is presented. A straight-line dorsal closure is preferred, with Z-plasties placed along the side of the digits, forearm, or arm. Long-term follow-up is presented in 58 patients with 116 constriction rings corrected by either traditional serial Z-plasties of skin (n = 61 rings) or this new method of contour correction (n = 55 rings). Specific correction of soft tissue is recommended when tissue is available.
Department of Surgery, Harvard Medical School, Children's Hospital, Boston, Mass.
J
J
Upton
C
C
Tan
D000273:Adipose Tissue / Q000601:surgery; D000652:Amniotic Band Syndrome / Q000601:surgery*; D005385:Fingers / Q000601:surgery*; D005500:Follow-Up Studies; D005542:Forearm / Q000601:surgery*; D006228:Hand Deformities, Congenital / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D013524:Surgical Flaps; D013997:Time Factors; D015626:Tissue Expansion