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

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 exci...

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Bibliographic Details
Published in:The Journal of craniofacial surgery Vol. 34; no. 3; pp. e319 - e320
Main Authors: Chwa, Emily S., Reddy, Narainsai K., Rajeswaran, Shankar, Yamada, Akira
Format: Journal Article
Language:English
Published: United States Lippincott Williams & Wilkins 01-05-2023
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Summary: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.
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ISSN:1049-2275
1536-3732
DOI:10.1097/SCS.0000000000009257