Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach

Abstract

BackgroundTraditional treatment for a congenital constriction band of the limb involves multiple Z-plasties and W-plasties. We propose an alternative surgical procedure for the treatment of congenital constriction bands that obviates the need for Z-plasties and eliminates the constriction band.MethodsWe present the case of a 36-year-old woman with a congenital constriction band of the leg. Using a minimally invasive approach, the skin segment that included the band was dissected from the deep tissues. Afterwards, multiple slices were performed on the internal surface of the fibrous ring. This and lipoinjection were used to reverse the depression that characterizes the “hourglass sign” and homogenize the skin surface.ResultsResults have remained stable in a follow-up period of 18 months.ConclusionsThis surgical alternative can be considered as an option for the treatment of congenital constriction bands. It is a safe, reproducible procedure that does not cause additional scars and has good functional and aesthetic results.Level of evidence VThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Asymptomatic bands on an infant's extremity

“…Based on the haphazard nature of the constriction, the patient most likely has amniotic band sequence (ABS), or congenital constriction bands. Amniotic band sequence is a primarily sporadic disorder that affects approximately 1 in 1500‐15 000 births …”

“…ABS includes a variety of congenital anomalies that are due to constriction rings formed by fibrous amniotic bands because of early intrauterine rupture of the amniotic sac . Constriction bands of varying depth can lead to anomalies that range from circumferential constriction bands around extremities or digits to more severe defects such as syndactyly, pseudoainhum, club feet, body wall defects, and craniofacial abnormalities.…”

“…Surgical treatment options for constriction bands that interfere with growth or vascular or lymphatic circulation include Z‐plasty, W‐plasty, and subcutaneous fat advancement flaps. Newer techniques have shown that the release of the fibrous band followed by lipoinjection can also be helpful …”

“…Newer techniques have shown that the release of the fibrous band followed by lipoinjection can also be helpful. 1,2 Keywords developmental defects, neonatal O R C I D…”

Lipoinjection with Adipose Stem Cells for Nasal Modeling: Rhino Cell, a Highly Versatile Alternative

“…[2] Autologous facial fat injection is an excellent therapeutic resource in craniofacial and cosmetic surgery. [3,4,5] Autologous fat is a suitable alternative for nasal modeling because of four factors: ease of collection, compatibility, the temporality of the results, and safety. In this sense, various authors have reported good results using fat grafts for nasal modeling in cases such as radix complex, increased height of the nasal dorsum, saddle deformity, post-traumatic sequelae, etc.…”