Outcomes of Linear Circumferential Skin Closure for Congenital Constriction Ring Syndrome

• DOI: 10.1142/s2424835523500327
• Publication Date: 2023-05-13T01:42:02Z
• Authors: Hiroshi FURUKAWA; Tomoyuki NAKAMURA; Akifusa WADA; Kazuyuki TAKAMURA; Haruhisa YANAGIDA; Toru YAMAGUCHI
• Keywords: Constriction

Background: Congenital constriction ring syndrome (CCRS) is a rare condition diagnosed at birth characterised by deformation due to ring. The usual treatment for CCRS involves excision of the and suture skin incorporating Z-plasty prevent scar contracture. A often results in an unsightly scar. In order avoid this, we performed linear circumferential closure (LCSC). aim this paper report outcomes LCSC CCRS. Methods: We retrospectively investigated all patients with who underwent between 2002 2020. Two incisions were placed proximal distal parallel, was excised carefully so as not damage nerves or vessels. deep subcutaneous dermis layers sutured. closed using adhesive tape. Two-stage surgery two severe lower leg problems circulation. Patients followed up least 1 year assessed complications quality Results: 31 sites 19 patients, including one forearm, 14 fingers, 10 legs six toes. median age operation 16 months (range: 4-175). follow-up period after 5.8 years 1.9-16.0). surgical had healed well there no complications. There recurrence hypertrophy, though did perform fat mobilisation cases. None required additional aesthetic outcome maintained final observation. Conclusions: Treatment resulted complications, excellent outcome. Level Evidence: IV (Therapeutic).