{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T22:46:08Z","timestamp":1793745968342,"version":"4.6.1"},"reference-count":164,"publisher":"SMW Supporting Association","issue":"11","license":[{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Swiss Med Wkly"],"abstract":"<jats:p>INTRODUCTION: Hair-thread strangulation syndrome describes the constriction of a body part by a tightly wound hair or thread. This research aims to review the literature about this entity.\nMETHODS:\u00a0A systematic review was performed to characterise hair-thread strangulation syndrome in subjects aged \u226416 years. This pre-registered review (PROSPERO ID: CRD42022363996) followed the PRISMA methodology.\nRESULTS: Subjects with digital strangulation were significantly younger (median = 4.0 [interquartile range: 2.0\u20136.1] months; n = 143) than females with genital strangulation (9.0 [6.8\u201311] years; n = 36), males with genital strangulation (5.1 [1.9\u20138.0] years; n = 36), and subjects with non-digital and non-genital strangulation (24 [13\u201348] months; n = 11). Digital strangulation was followed by an amputation in five (3.5%) and a reconstructive surgical intervention in seven (4.9%) cases. Sequelae occurred in four (11%) cases after female genital strangulation: clitoris autoamputation (n = 2) and surgical removal of a necrotic labium minus (n = 2). Severe complications were observed in 14 (39%) cases with male genital strangulation: urethral fistula (n = 7), urethral transection (n = 2), and partial penile autoamputation (n = 5). A partial uvular autoamputation was observed in one case (9.0%) with non-digital and non-genital strangulation.\nCONCLUSIONS: Early recognition and management are crucial to avoid sequelae or long-term care in hair-thread strangulation syndrome.<\/jats:p>","DOI":"10.57187\/smw.2023.40124","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T11:47:24Z","timestamp":1699530444000},"page":"40124","source":"Crossref","is-referenced-by-count":5,"title":["Hair-thread strangulation syndrome in childhood: a systematic review"],"prefix":"10.57187","volume":"153","author":[{"given":"Daniela","family":"Djokic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregorio P.","family":"Milani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastiano A. G.","family":"Lava","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Gualco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Corigliano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario G.","family":"Bianchetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Lavagno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"36756","published-online":{"date-parts":[[2023,11,9]]},"reference":[{"key":"84879","unstructured":"Barton DJ, Sloan GM, Nichter LS, Reinisch JF. Hair-thread tourniquet syndrome. Pediatrics. 1988 Dec;82(6):925\u20138. 10.1542\/peds.82.6.925"},{"key":"84880","doi-asserted-by":"crossref","unstructured":"Ligature of the penis. 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