Management of Paronychia in Patients With Apert Syndrome.
| Autor: | Kim JS; University of Pittsburgh Medical Center., Block LM; Children's Hospital of Pittsburgh, Pittsburgh, PA., Zhu X; University of Pittsburgh Medical Center., Davit AJ; University of Pittsburgh Medical Center.; Children's Hospital of Pittsburgh, Pittsburgh, PA. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Techniques in hand & upper extremity surgery [Tech Hand Up Extrem Surg] 2020 May 08; Vol. 25 (1), pp. 30-34. Date of Electronic Publication: 2020 May 08. |
| DOI: | 10.1097/BTH.0000000000000295 |
| Abstrakt: | Apert syndrome is a complex congenital syndrome that includes bicoronal craniosynostosis, craniofacial dysmorphologies, cleft palate, hearing loss, spina bifida occulta, cardiac anomalies, and affects the upper and lower extremities-producing complex syndactyly in these patients. Management of the hands yields several challenges and mandates close follow-up to balance repair of complex polysyndactyly with other pressing interventions, such as posterior cranial vault distraction and surgical management of the airway. Our goals of therapy for the hands are to preserve 10 digits, provide sufficient soft tissue coverage, optimize hand function, and minimize the number of surgical interventions. Ideally, surgical management of the hand differences occurs between the ages of 9 months and 2 years, to optimize neurocognitive development. In complex syndactyly observed in patients with Apert syndrome, there are broad, conjoined nail plates that overlie the fused digits, and paronychia occurs frequently. Suppurative infections can delay definitive surgical intervention for the patient's complex syndactyly, and resolution of paronychia is critical. This study aims to propose an effective and safe technique to manage paronychia when it occurs in patients with Apert complex syndactyly and to mitigate the length of delay to definitive polysyndactyly reconstruction. In the context of these patients' need for multiple surgical interventions within the first few years of life, this strategy for preventing or mitigating paronychia can play an important role in streamlining their complex surgical management while avoiding multiple cancellations. Competing Interests: Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. (Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|