{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T04:04:22Z","timestamp":1746417862226,"version":"3.40.4"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Hair-thread tourniquet syndrome (HTTS) is an uncommon condition that affects mostly babies, usually a few months old. It happens when a strand of hair or cloth fiber encircles an appendage causing a condition of total or subtotal ischemia (<jats:italic toggle=\"yes\">West J Med<\/jats:italic> 1976;125:335\u2013336). This condition has been described several times in the recent literature. Appendages involved include toes, fingers, genitalia, uvula, and neck (<jats:italic toggle=\"yes\">N Engl J Med<\/jats:italic> 1965;273:866\u2013867). The mechanism of injury usually involves the fiber cutting the skin deeply through soft tissues, veins, and arteries. As HTTS occurs in small babies and hidden parts of the body, sometimes this event can be very difficult to detect and irritability may be the only symptom. The treatment consists of releasing the circumferential constriction and restoring the arteriovenous flow also with microsurgical techniques if vessel interruption is present. Unfortunately, the fiber or the thread often penetrates so deep that, once an HTTS is recognized, it may be very challenging to identify and trim. The authors present a case of HTTS of the second toe of the right foot in a 2-month-old baby treated with surgical release and Hiras\u00e8 technique. After the thread was successfully cut and removed, the forefoot was covered with aluminum foil, and a bag with ice was immediately put all around. After 3 days, we observed a complete survival of the toe without any sign of necrosis. Later control at 6 months showed complete restitutio ad integrum of the affected digit with a normal perfusion and absence of any onychopathy. Hiras\u00e8 technique represents a simple, safe, and low-cost option of treatment for HTTS.<\/jats:p>","DOI":"10.1097\/pec.0000000000002541","type":"journal-article","created":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T19:45:22Z","timestamp":1631735122000},"page":"e664-e665","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Treatment of a Case of Toe Hair-Thread Tourniquet Syndrome With Hiras\u00e8 Technique"],"prefix":"10.1097","volume":"37","author":[{"given":"Federico","family":"Tamborini","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davide","family":"Sallam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Maggiulli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"Pellegatta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Corno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Cherubino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Valdatta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1056\/NEJM196510142731608","article-title":"Strangulation of an appendage by hair wrapping","volume":"273","year":"1965","journal-title":"N Engl J Med"},{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/0022-3468(73)90289-3","article-title":"Strangulation of appendages by hair and thread","volume":"8","year":"1973","journal-title":"J Pediatr Surg"},{"key":"bib3-20250504","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1097\/01.sap.0000222571.98387.71","article-title":"Hair-thread tourniquet syndrome in an infant with bony erosion: a case report, literature review, and meta-analysis","volume":"57","year":"2006","journal-title":"Ann Plast Surg"},{"key":"bib4-20250504","first-page":"171368","article-title":"Hair-thread tourniquet syndrome: a case report and literature review","volume":"2012","year":"2012","journal-title":"Case Rep Med"},{"key":"bib5-20250504","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1097\/00006534-195606000-00004","article-title":"The principle of cooling as applied to the composite graft in the nose","volume":"17","year":"1956","journal-title":"Plast Reconstr Surg (1946)"},{"key":"bib6-20250504","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/0007-1226(93)90204-O","article-title":"Postoperative cooling enhances composite graft survival in nasal-alar and fingertip reconstruction","volume":"46","year":"1993","journal-title":"Br J Plast Surg"},{"key":"bib7-20250504","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1097\/00000637-199702000-00009","article-title":"Salvage of fingertip amputated at nail level: new surgical principles and treatments","volume":"38","year":"1997","journal-title":"Ann Plast Surg"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000002541","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T18:09:37Z","timestamp":1746382177000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000002541"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":7,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000002541","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"type":"electronic","value":"1535-1815"},{"type":"print","value":"0749-5161"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}