Hair tourniquet syndrome on the toe and labia

Ihara, Takateru; Takei, Hiroyuki; Kishibe, Shun; Nomura, Osamu

doi:10.1111/ped.13712

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…Fifty-eight articles reported cases from America, 45 from Asia, 39 from Europe, six from Oceania, and four from Africa. The articles provided information on 226 cases: 143 cases of digital strangulation [2,, 36 of female genital strangulation [22,36,49,86,, 36 of male genital strangulation [7,12,24,, and 11 cases of non-digital and non-genital strangulation [148][149][150][151][152][153][154][155][156][157]. Characteristics of the individual cases are provided in the supplementary material (supplementary tables 1-4).…”

Section: Search Outputmentioning

confidence: 99%

Hair-thread strangulation syndrome in childhood: a systematic review

Djokic,

Milani,

Lava

et al. 2023

Swiss Med Wkly

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INTRODUCTION: Hair-thread strangulation syndrome describes the constriction of a body part by a tightly wound hair or thread. This research aims to review the literature about this entity. METHODS: A systematic review was performed to characterise hair-thread strangulation syndrome in subjects aged ≤16 years. This pre-registered review (PROSPERO ID: CRD42022363996) followed the PRISMA methodology. RESULTS: Subjects with digital strangulation were significantly younger (median = 4.0 [interquartile range: 2.0–6.1] months; n = 143) than females with genital strangulation (9.0 [6.8–11] years; n = 36), males with genital strangulation (5.1 [1.9–8.0] years; n = 36), and subjects with non-digital and non-genital strangulation (24 [13–48] months; n = 11). Digital strangulation was followed by an amputation in five (3.5%) and a reconstructive surgical intervention in seven (4.9%) cases. Sequelae occurred in four (11%) cases after female genital strangulation: clitoris autoamputation (n = 2) and surgical removal of a necrotic labium minus (n = 2). Severe complications were observed in 14 (39%) cases with male genital strangulation: urethral fistula (n = 7), urethral transection (n = 2), and partial penile autoamputation (n = 5). A partial uvular autoamputation was observed in one case (9.0%) with non-digital and non-genital strangulation. CONCLUSIONS: Early recognition and management are crucial to avoid sequelae or long-term care in hair-thread strangulation syndrome.

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Section: Search Outputmentioning

confidence: 99%

Hair-thread strangulation syndrome in childhood: a systematic review

Djokic,

Milani,

Lava

et al. 2023

Swiss Med Wkly

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“…Direct injury to designs may likewise happen the corpora and urethra are particularly inclined to be crosscut because of their dainty defensive tissue layers 9 . The peculiarity happens solely in circumcised children, in spite of the fact that instances of hair tourniquets of clitoris, labia, and digits likewise happen [10][11] . The deficiency of the fingers and toes by inadvertent weaving of hair is notable.…”

Section: Introductionmentioning

confidence: 98%

Progressive Coil Penile Tourniquet Syndrome: Single Center Experience with 26 Cases at Department of Pediatric Urology at the Institute of Kidney Diseases MTI Hayatabad Peshawar

Shah¹,

Khan²,

Ali³

et al. 2022

PJMHS

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Objective: This study was conducted to know the causes of penile tourniquet injury, its complications and awareness about the condition to prevent its devastating outcomes. Methods: this study was completed in five year (2017-2022) at Institute of Kidney Diseases MTI Hayatabad Peshawar. The injuries were graded ‘as described by Bashir and El-Barbary. Results: this study is composed of 26 Patients. . The mean age of patients was noted seven years (6.93years) with range 2.3years to 11years. Human hair was found constricting agent (09 patients). All of the patients were circumcised. In most patients a delay in diagnosis of more than five weeks was noted. Conclusion: Penile tourniquet injury in children can cause devastating range of injuries from mild glans edema to penile amputation. The knowledge of such conditions/injuries can easily diagnose the condition and prevent its complications.

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“…The phenomenon occurs almost exclusively in circumcised males, although cases of hair tourniquets of clitoris, labia, and digits also occur (3,4). Typical age presentation overlaps with maternal postpartum hair loss, a phenomenon known as telogen effluvium, which affects over 90% of women in the postpartum period (5,6).…”

Section: Introductionmentioning

confidence: 99%

Case Report: Penile Strangulation Secondary to Hair Tourniquet

et al. 2020

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Penile strangulation is a rare condition in children caused by circumferential constriction of the coronal sulcus by constricting material, commonly thin maternal hair. Vague presenting symptoms often makes diagnosis difficult, but delay in diagnosis can lead to a variety of severe complications including urethral injury and penile necrosis. Providers must have a high index of suspicion and carry out a careful examination to identify maternal hair strands that may bury deep within penile edema. We describe two cases of penile strangulation secondary to maternal hair strands that were successfully treated with thorough examination and division of the constricting hair in the emergency department. In both cases, presentation involved penile swelling and erythema which was noticed by caregivers. Once the diagnosis has been made, urgent treatment using depilatory cream or mechanical removal must occur, with urgent referral to specialists if unable to remove to constricting material. Caregivers must also be counseled on appropriate steps to prevent penile hair tourniquet syndrome. Devastating complications can be avoided by early recognition and proper management of the syndrome, but providers must have knowledge of the condition and a high index of suspicion.

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Hair tourniquet syndrome on the toe and labia

Cited by 7 publications

References 3 publications

Hair-thread strangulation syndrome in childhood: a systematic review

Hair-thread strangulation syndrome in childhood: a systematic review

Progressive Coil Penile Tourniquet Syndrome: Single Center Experience with 26 Cases at Department of Pediatric Urology at the Institute of Kidney Diseases MTI Hayatabad Peshawar

Case Report: Penile Strangulation Secondary to Hair Tourniquet

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