Castro-Govea Yanko, Vela-Martinez Amin, Treviño-Garcia Luis Alberto
Servicio de Cirugía Plástica, Estética, Maxilofacial y Reconstructiva, Hospital Universitario "Dr. José E. González", Universidad Autónoma de Nuevo León, Av. Francisco I. Madero & Av. Gonzalitos s/n, Colonia Mitras Centro, 64460, Monterrey, Nuevo León, México.
Aesthetic Plast Surg. 2017 Apr;41(2):375-380. doi: 10.1007/s00266-016-0744-4. Epub 2016 Dec 29.
Traditional 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.
We 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.
Results have remained stable in a follow-up period of 18 months.
This 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.
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肢体先天性束带的传统治疗方法包括多次Z成形术和W成形术。我们提出一种治疗先天性束带的替代手术方法，该方法无需进行Z成形术并可消除束带。
我们报告了一名36岁患有腿部先天性束带的女性病例。采用微创方法，将包含束带的皮肤段从深部组织中分离出来。之后，在纤维环内表面进行多次切片。这一步骤与脂肪注射一起用于逆转表征“沙漏征”的凹陷并使皮肤表面均匀化。
在18个月的随访期内结果保持稳定。
这种替代手术方法可被视为治疗先天性束带的一种选择。它是一种安全、可重复的手术，不会造成额外瘢痕，并且具有良好的功能和美学效果。
证据等级V：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
