Cronin's Procedure for Syndactyly: Techniques, Outcomes, and Innovations | Chapter 22 | Key Flaps in Plastic Surgery

 This book chapter presents a case report and discussion on Cronin's procedure, also known as the wedge resection technique, for the correction of syndactyly. The case presentation describes a child born with fused middle, ring, and little fingers, with the third web fusion extending to the tip of the distal phalanges and the fourth web fusion extending to the distal interphalangeal joint. The diagnosis is congenital simple complete third web and incomplete fourth web syndactyly of the left hand.

The operative procedure involves the release and reconstruction of the syndactyly using Cronin's technique and Buck-Gramcko flaps for nail fold reconstruction. The surgeon marks the areas for release and reconstruction, performs the wedge resection, and mobilizes the flaps to achieve third web and nail fold reconstruction. The postoperative period remains uneventful, and satisfactory results are observed during follow-up examinations.

The discussion section introduces Cronin's procedure, highlighting its purpose in correcting syndactyly by separating fused digits through the removal of a wedge-shaped portion of tissue and bone. The surgical techniques involved in the procedure are described, including patient evaluation and planning, anaesthesia, incision and exposure, wedge resection, reconstruction, wound closure, and postoperative care.

Advantages of Cronin's procedure include improved finger function, aesthetic improvement, and early intervention to optimize hand development. The limitations of the procedure, such as the need for an individualized approach based on the severity and type of syndactyly, and potential risks and complications, are also discussed.

The abstract emphasizes the practical application of Cronin's procedure in correcting syndactyly and the benefits it provides in terms of finger function and aesthetics. By understanding the surgical techniques and considering the advantages and limitations of the procedure, healthcare professionals can effectively address syndactyly and improve hand function and appearance in affected individuals.

Author(s) Details:

Mohd. Altaf Mir,
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS),Bathinda-151001, India.

Jaya Jain,
All India Institute of Medical Sciences (AIIMS), Bathinda-151001, India.

Please see the link here: https://stm.bookpi.org/KFPS/article/view/11517

Detection of Fetal Hands Abnormalities at the First Trimester Scan: A Report of Two Cases | Chapter 2 | Research Highlights in Disease and Health Research Vol. 5

 This report presents two cases of before birth hand irregularities. The first is a case of unilateral before birth syndactyly discovered during a routine first trimester leaf through, which developed in the early diagnosis of a harsh genetic condition through obtrusive testing and the early end of pregnancy. By achievement so, we ensured that the woman was controlled appropriately. In the second case, we characterize a fetus accompanying bilateral help polydactyly that was combined accompanying a cardiac defect, making extrauterine life preposterous. This was once again diagnosed all the while the first trimester scan. In the first trimester of gestation, an uncomplicated failure was performed.

Author(s) Details:

Nikolaos K. Tsagkas,
General Hospital of Agrinion, Greece.

Michail E. Billis,
General Hospital of Filiates, Greece.

Please see the link here: https://stm.bookpi.org/RHDHR-V5/article/view/10114

Poland Syndrome: Its Prevalence and Associated Implications | Chapter 2 | Current Overview on Disease and Health Research Vol. 3

 Poland syndrome is a musculoskeletal birth condition with varying appearance, according to literature review. It typically manifests as partial or complete absence of pectoral muscles, breast abnormalities, and anomalies of the upper limbs. The range of limb abnormalities includes syndactyly and phocomelia. Although family cases of the Poland syndrome with intrafamilial incidence have also been noted, the disorder is widely distributed in the population. Many theories have been proposed regarding etiopathogenesis, however the vascular disruption theory is the most widely recognised one. In addition to the conventional presentation, syndactyly, phocomelia, a faulty rib, and severe thoracic wall abnormalities that limit lung function can coexist with the Poland syndrome. Symptoms may be modest at birth and into childhood, necessitating no surgical intervention. Only when symptoms are severe, such as when significant chest abnormalities are limiting pulmonary functioning, should surgery be considered. The chapter's objective is to compile information on Poland syndrome's etiopathogenesis, clinical manifestations, and therapeutic needs.

Author(s) Details:

Rajani Singh,
Department of Anatomy, Uttar Pradesh University of Medical Sciences, Saifai Etawah, UP, India.

Kavita Gupta,
Department of Anatomy, Uttar Pradesh University of Medical Sciences, Saifai Etawah, UP, India.

Please see the link here: https://stm.bookpi.org/CODHR-V3/article/view/7890