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Management of Paronychia in Patients With Apert Syndrome. | LitMetric

AI Article Synopsis

  • Apert syndrome is a complex congenital condition that presents with a variety of challenges, including craniosynostosis, cleft palate, hearing loss, and severe hand deformities like complex syndactyly, affecting both upper and lower extremities.
  • The surgical management of hand differences aims to preserve 10 functional digits, ensure adequate soft tissue coverage, enhance hand function, and reduce the frequency of surgeries, ideally conducted between 9 months to 2 years of age to support neurocognitive development.
  • This study focuses on developing an effective technique to treat paronychia, a common infection in patients with Apert syndrome, in order to minimize delays in definitive hand reconstruction and improve overall surgical management efficiency.

Article Abstract

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.

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Source
http://dx.doi.org/10.1097/BTH.0000000000000295DOI Listing

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