A single center retrospective review of hair tourniquet syndrome and a proposed treatment algorithm

Journal of Pediatric Surgery
Jonathan F BeanCatherine J Hunter

Abstract

Hair tourniquet syndrome (HTS) is a rare disorder characterized by a hair becoming tightly wound around an appendage. There is little known about the epidemiology, optimal treatment, or indications for surgical intervention in HTS. We hypothesized that HTS could be readily diagnosed and treated in the pediatric emergency department and we sought out factors predictive of surgical intervention. We performed a single center retrospective review of all patients who presented with a hair tourniquet from May 2004 till March 2014. Eighty-one patients were diagnosed with HTS, ranging in age from 2weeks to 22years. Of these patients, 69 were located on the toes, 5 on fingers, and 7 on genitalia. The average ages for each location were statistically different (p<0.0001). Ninety-four percent of patients were successfully treated by nonoperative means. Cellulitis was found in two patients. Tissue necrosis occurred in one patient. HTS is an uncommon disorder and location differs with age. Chemical depilatory agents should be a first line treatment for this condition in most patients. If chemical tourniquet release fails, then the patient should undergo mechanical tourniquet release. If edema, erythema and pain fail to resolve after tourniq...Continue Reading

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Citations

Aug 16, 2016·Nursing for Women's Health·Tricia A Templet, Roger D Rholdon
Jan 18, 2018·Pediatric Dermatology·Deshan F Sebaratnam, Ángela Hernández-Martín
Dec 27, 2018·Pediatrics International : Official Journal of the Japan Pediatric Society·Takateru IharaOsamu Nomura
May 3, 2019·Pediatric Emergency Care·Michael GottliebDaniel Spearman
May 21, 2019·Acta orthopaedica et traumatologica turcica·Okan AslantürkEmre Ergen
Jun 14, 2016·Journal of Pediatric Orthopedics. Part B·Esat UygurEthem Ünkar
Mar 20, 2020·BMJ Case Reports·Robert Brian McGrathSinead Brigid Harty
Sep 26, 2020·Frontiers in Pediatrics·William F RawlsEran Rosenberg
Jul 22, 2020·Journal of Pediatric and Adolescent Gynecology·Luigi Antonio De VitisMatteo Frigerio
Aug 4, 2021·Pediatrics in Review·R Kiran ChawlaM Susan Jay

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