Medically Indicated Labiaplasty in a Case of Recurrent Labial Hair Thread Tourniquet Syndrome in a Premenarchal Girl

Adjei, Naomi; Lynn, Anna; Dugan, Katherine; Vash‐Margita, Alla

doi:10.1016/j.jpag.2021.03.007

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…Its most relevant strength was that it covered the entire spectrum of conditions that may be caused by hair-thread strangulation in paediatric patients. For example, two recent reviews focused explicitly on the hair-thread strangulation syndrome of the female genital tract or both the female and the male genital tracts [118,164].…”

Section: Discussionmentioning

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: Discussionmentioning

confidence: 99%

Hair-thread strangulation syndrome in childhood: a systematic review

Djokic,

Milani,

Lava

et al. 2023

Swiss Med Wkly

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“…In our experience and those of others [1], HTTS management varied according to the presentation; ranging from simple removal of the strangulating hair with local care in an early presentation to excision of the necrotic lost tissue with the residual stump defect closure if broad in late presentation with necrosis of the strangulated tissue. However, in the presence of predisposing structural abnormalities such as labial hypertrophy or excessively redundant hood, previous reports on labiaplasty of injured or disfigured labia minora due to recurrent HTTS in hypertrophic labia minora [17,25] suggest that the correction of the abnormality should be included in the treatment. A similar approach was taken in Case 4, where limited clitoral unhooding was performed for the patient who had two previous clitoral tissue strangulation confirmed with real defects at the end of a very redundant hood to avoid more serious loss of the clitoris and hood.…”

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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