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超声引导下上皮化发绞窄带致难愈性伤口的诊治。

Diagnosis and Treatment of a Nonhealing Wound Secondary to a Reepithelialized Hair Tourniquet With Ultrasound.

机构信息

Northwestern University Feinberg School of Medicine.

Division of Pediatric Plastic and Reconstructive Surgery, Ann and Robert H. Lurie Children's Hospital Ann and Robert H. Lurie Children's Hospital.

出版信息

J Craniofac Surg. 2023 May 1;34(3):e319-e320. doi: 10.1097/SCS.0000000000009257. Epub 2023 Mar 13.

DOI:10.1097/SCS.0000000000009257
PMID:36907835
Abstract

A 9-month-old girl presented with a chronic wound on the dorsal surface of her toe that failed 6 months of medical management. Due to the prolonged clinical course, there was a concern for a foreign body. Intraoperative ultrasound was utilized to identify linear echogenic structures, which were excised and consistent with reepithelialized hairs secondary to hair-thread tourniquet syndrome. There were also erosive changes to the underlying phalanx. Intraoperative ultrasound was also used to guide the incision size and confirm the complete removal of the hairs.

摘要

一位 9 个月大的女孩因脚趾背部的慢性伤口就诊,该伤口在经过 6 个月的药物治疗后仍未愈合。由于病程较长,医生怀疑存在异物。术中超声用于识别线性强回声结构,这些结构被切除,与毛发绞勒综合征导致的复层上皮化毛发一致。下面的指骨也有侵蚀性改变。术中超声还用于指导切口大小,并确认已完全切除毛发。

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J Craniofac Surg. 2023 May 1;34(3):e319-e320. doi: 10.1097/SCS.0000000000009257. Epub 2023 Mar 13.
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