Hair tourniquet syndrome: revisited

Hussin, Paisal; Mawardi, Maliza; Masran, M S; Ganaisan, Premganesh K.

doi:10.11138/gchir/2015.36.5.219

Cited by 8 publications

(8 citation statements)

References 5 publications

(5 reference statements)

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“…HTTS is a rare and potentially dangerous disorder in which hair or a synthetic fiber part is wrapped around an appendage, resulting in swelling, pain, or even loss of the appendage [11]. HTTS is most commonly reported in children between their first two to six months of life and could be related to maternal postpartum hair loss (telogen effluvium) [12][13][14], which affects more than 90% of women due to maternal hormonal changes. The exact etiology of hair tourniquet is unclear, and it most commonly occurs accidentally.…”

Section: Discussionmentioning

confidence: 99%

The First Report of Isolated Clitoral Hood Hair-Thread Tourniquet Syndrome: A Study of Six Patients

AlJahdali

2022

Cureus

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Background and objectiveHair-thread tourniquet syndrome (HTTS) is a rare and potentially dangerous condition that occurs when a hair strand or fabric thread is wrapped around the penis, clitoris, toes, fingers, or other appendages, leading to focal edema, ischemia, and necrosis. This study aimed to examine the cases of six female patients with isolated clitoral hood HTTS. MethodsThis was a retrospective study involving six female patients (age range: two to six years) with isolated clitoral hood tourniquet who presented to the outpatient department (OPD) and emergency room (ER) of the pediatric and adolescent gynecology service at

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Section: Discussionmentioning

confidence: 99%

The First Report of Isolated Clitoral Hood Hair-Thread Tourniquet Syndrome: A Study of Six Patients

AlJahdali

2022

Cureus

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“…Classically, hair tourniquet syndrome involves a single human hair or fine thread producing a tourniquet effect on an appendage. 3,4 When not promptly recognized and immediately removed, this syndrome may result in necrosis of the affected appendage from impedance of lymphatic drainage, followed by arterial inflow obstruction. 5 A physical property of human hair is that it stretches when wet and shrinks when dry, which is hypothesized to be a contributing factor.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Although rare, hair tourniquet syndrome has been recognized since the 17th century. 3,4 Hair tourniquet syndrome is often considered in the medical evaluation of the irritable or crying infant, with the majority of cases involving digits and external genitalia. 3,4,5 Less frequently reported is strangulation of the neck as a result of hair tourniquet syndrome when a young child co-sleeps with family members who have long hair.…”

Section: Introductionmentioning

confidence: 99%

“…3,4 Hair tourniquet syndrome is often considered in the medical evaluation of the irritable or crying infant, with the majority of cases involving digits and external genitalia. 3,4,5 Less frequently reported is strangulation of the neck as a result of hair tourniquet syndrome when a young child co-sleeps with family members who have long hair. 5,6,7,8,9 To prevent such injury, our case highlights the importance of parental education on risk factors associated with co-sleeping, and our role as pediatricians to promote safe sleeping environment during anticipatory guidance.…”

Section: Introductionmentioning

confidence: 99%

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Accidental Strangulation: A Rare but Potential Risk of Co-Sleeping

2019

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The sleeping arrangements of young children may depend on factors such as socioeconomic limitations and cultural beliefs. Approximately 3,700 infants die annually in the United States from sudden unexpected infant deaths (SUID), including sudden infant death syndrome (SIDS), accidental suffocation and less frequently reported, strangulation of the neck because of hair tourniquet syndrome when a young child co-sleeps with family members who have long hair. This case report describes a 13-month old male who was brought to the pediatric emergency department after he was found entangled with his mother's hair around his neck. The mother was awoken by her son's movement, struggling to breathe in bed. Given the unusual nature of the event, presentation of the child with diffuse facial petechiae and circumferential ligature mark that extended around his neck, the child was admitted to the general pediatric ward for observation and further investigation of possible non-accidental trauma. To the best of our knowledge, only two previous case reports of such strangulation from human hair were reported within the last 2 decades. The aim of this case report is to increase physician and parental awareness of the potential danger in accidental strangulation during cosleeping, and promote safe sleep environments.

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“…The thread then constricts the appendage, resulting in obstruction of venous return followed by a reduction of the arterial inflow 1 . If not recognized early, serious complications may occur, such as ischemia, tissue necrosis, and rarely, loss of the involved appendage 2 . Thus, this condition is considered to be an emergency.…”

Section: Introductionmentioning

confidence: 99%

Hair tourniquet syndrome: A retrospective study

Martonovich

Khatib

Assaf

2022

Pediatric Dermatology

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Objective: Hair thread tourniquet syndrome (HTS) is a pediatric condition in which human hair or synthetic fiber encircles and strangulates a body appendage causing tissue necrosis. Few epidemiologic studies have been done. Our objective was to better define the demographics, clinical features, and predisposing factors for this condition.Materials and Methods: Medical records of all infants up to 1 year old seen in the orthopedic emergency department of Galilee Medical Center were searched for the diagnosis of HTS or its ICD equivalent.Results: Forty-one cases of hair tourniquet syndrome (HTS) were reviewed. Most cases (68%) occurred during the winter months (December to February). There were no reports between June to August (summer). The median age was 4 months and the male-to-female ratio was approximately 2:5. Toes were significantly more involved than fingers (97.5%) and the 3rd toe was the most affected (58%). Nine patients (21.9%) had more than one toe affected and only one case reported finger involvement.Conclusions: HTS in our population is a phenomenon that seems to occur mostly in winter. Infants between 3 and 5 months are at greater risk. Toes are more affected than fingers. The most involved toes are the 3rd and 4th.

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Hair tourniquet syndrome: revisited

Cited by 8 publications

References 5 publications

The First Report of Isolated Clitoral Hood Hair-Thread Tourniquet Syndrome: A Study of Six Patients

The First Report of Isolated Clitoral Hood Hair-Thread Tourniquet Syndrome: A Study of Six Patients

Accidental Strangulation: A Rare but Potential Risk of Co-Sleeping

Hair tourniquet syndrome: A retrospective study

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