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Hair-thread tourniquet syndrome .
D J Barton1, G M Sloan, L S Nichter
1Division of Plastic Surgery, University of Southern California School of Medicine, Los Angeles, CA 90027.
Pediatrics
|December 1, 1988
Summary
Hair-thread tourniquet syndrome affects infants, causing appendage strangulation. Prompt fiber removal and conservative care lead to successful healing without significant tissue loss.
Area of Science:
- Pediatric Surgery
- Dermatology
Background:
- Hair-thread tourniquet syndrome is a condition where hair or fibers constrict an appendage in infants.
- It can affect toes, fingers, and external genitalia, presenting a risk of tissue damage.
Observation:
- Six infant cases (12 days to 5 months) presented with appendage strangulation.
- Offending fibers included hair (toe injuries) and synthetic fibers from mittens (finger injuries).
- Literature review identified 60 similar cases, with varying causes and affected sites.
Findings:
- Immediate removal of constricting fibers resulted in complete healing without significant tissue loss in all six cases.
- The middle finger and third toe are most susceptible to strangulation.
- Finger and penile involvement carried a higher risk of complications compared to toe involvement.
Implications:
- Prompt diagnosis and immediate removal of the offending fiber are crucial for successful treatment.
- Prolonged conservative management of distal tissue aids in maximal tissue salvage.
- Increased physician awareness is essential for prevention, diagnosis, and early intervention.