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Journal of Case Reports
Severe Constriction Band Syndrome of Digit in Neonate: Reduction with Z-Plasty
Sunraj Bangera
Department of Plastic and Reconstructive Surgery, A.J. Institute of Medical Sciences, Mangalore 575004, Karnataka, India.
Corresponding Author:
Dr. Sunraj Bangera
Email: sunraj_bangera@yahoo.co.in
Received: 03-JUN-2016 Accepted: 17-SEP-2016 Published Online: 30-OCT-2016
DOI: http://dx.doi.org/10.17659/01.2016.0124
Abstract
Constriction  band  syndrome  is  a  condition  in  which  the  cause  of  the  constriction  band  is  prematurely  ruptured  intrauterine  strips  of  amniotic  membrane  circling  around  the  extremities.  Three  day  old  female  child  presented  with  constriction  band  of  the  3rd  and  4th  digits. Child  had  severe  lymphoedema  of  the  ring  finger  with constriction  band  at  the  level  of  proximal  phalanx.  The  neonate underwent  elliptical  excision  of  the  constriction  bands  over  the dorsal  aspect  and  Z-plasty  of  the  ring  and  middle  fingers.  The lymphoedema reduced  by  70%  within  a  period  of  6  months. Though  surgical  excision  of  excess  skin  is  tempting,  re-establishment  of  lymphatic  circulation  with  Z-plasty  does  produce  significant  reduction.  Redundant skin  may  be appropriately  trimmed  at  a  later  date.
Keywords : Constriction, Fingers, Infant, Lymphedema, Skin Diseases.
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