A New Technique for Correction of Congenital Constriction Rings

Mutaf, Mehmet; Sunay, Mahmut

doi:10.1097/01.sap.0000235430.21875.55

Cited by 42 publications

(23 citation statements)

References 11 publications

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“…One-stage approaches are performed since they decrease surgical and psychological trauma, the amount of anesthetic the patient requires, also the time of hospitalization and the cost. This agrees with the results obtained by Mutaf [8]. The major concern of surgeons who preferred multistage approaches was the potential risk of a circulatory compromise after surgery [14][15][16][17].…”

Section: Discussionsupporting

confidence: 91%

“…In this series, all children were corrected in one stage, and there has been no patient with circulatory compromise postoperatively. This agrees with earlier studies that defend the one-stage approach [8,[16][17][18]. Indeed, this technique offers excellent results with great safety and simplicity in application.…”

Section: Discussionsupporting

confidence: 88%

“…In this study, the Mutaf procedure was used again but the indications for correction of congenital scars were expanded to include acquired depressed scars [8].…”

Section: Introductionmentioning

confidence: 99%

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Mutaf procedure: expanding the indications

El-Sabbagh

2011

Eur J Plast Surg

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Depressed scars may be congenital or acquired. Different methods have been widely used for the correction of these deformities. The Mutaf procedure was described previously for the correction of the constriction ring syndrome. In this article, the indication was expanded to include non-congenital scars. Eighteen patients underwent the Mutaf procedure for depressed scar correction. These scars included congenital and non-congenital scars. It was applied to both upper and lower limbs. All flaps survived completely with only one minor complication. The Mutaf procedure is an effective method for correction of large depressed scars.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 88%

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Mutaf procedure: expanding the indications

El-Sabbagh

2011

Eur J Plast Surg

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“…Excision of the dermis and subcutaneous tissue may result in a deficiency under the constriction band, which could cause a 'sand glass deformity' (21). This phenomenon has been described when closure is done with Z-or W-plasty and the subcutaneous tissue is not mobilized.…”

Section: Discussionmentioning

confidence: 99%

“…In 2006, Mutaf and Sunay (21) suggested the use of a rectangularplasty technique, aligning the major rectangular limbs in parallel with the relaxed skin tension lines (21). However, we believe that the superficial scar resulting from the surgery is much more aesthetic with direct closure (Figures 1 and 2).…”

Section: Discussionmentioning

confidence: 99%

Surgical correction of congenital constriction band syndrome in children: Replacing Z-plasty with direct closure

Choulakian¹,

Williams²

2008

CAN J PLAST SURG

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Congenital constriction band syndrome is a sporadic condition that may also be present in association with other congenital anomalies. It has an incidence varying from one in 1200 to one in 15,000 live births. There is a significant predilection for the upper extremities and distal limbs. The two main objectives for the treatment of congenital constriction band syndrome are improvement of function and improvement of cosmetic appearance. Different surgical techniques, such as Z-plasty, have been described and used for decades; however, direct closure after the excision of the constricting band seems to be the simplest and most appropriate, allowing the fatty tissue to naturally reposition itself under the skin. This technique is used in a twostage approach to avoid affecting distal circulation to the limb. Key Words: Amniotic bands; Congenital constriction band syndrome; Direct closure; Z-plastyCorrection chirurgicale du syndrome des brides amniotiques chez les enfants : Remplacement de la plastie en Z par une fermeture directe Le syndrome des brides amniotiques est une maladie sporadique qui peut également se manifester en association avec d'autres anomalies congéni-tales. Son incidence varie de 1 pour 1 200 à 1 pour 15 000 naissances vivantes. La maladie semble affecter significativement plus les membres supérieurs et les extrémités. Le principal objectif du traitement du syndrome des brides amniotiques est l'amélioration à la fois fonctionnelle et esthétique. Différentes techniques chirurgicales, comme la plastie en Z, ont été décrites et sont utilisées depuis des décennies. Toutefois, la fermeture directe après excision des brides constrictives semble plus simple et plus appropriée, car elle permet une répartition plus naturelle des tissus adipeux sous la peau. Cette approche s'applique en deux étapes pour éviter d'affecter la circulation distale dans les membres.

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Children’s Orthopaedics in the Tropics

Ibrahim¹,

Abdul-Kadir²

2011

General Principles of Children's Orthopaedic Disease

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A New Technique for Correction of Congenital Constriction Rings

Cited by 42 publications

References 11 publications

Mutaf procedure: expanding the indications

Mutaf procedure: expanding the indications

Surgical correction of congenital constriction band syndrome in children: Replacing Z-plasty with direct closure

Children’s Orthopaedics in the Tropics

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