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Surgical correction of the webbed neck: an alternative lateral approach

Identifieur interne : 000149 ( Main/Exploration ); précédent : 000148; suivant : 000150

Surgical correction of the webbed neck: an alternative lateral approach

Auteurs : Imen Mehri Turki [Tunisie]

Source :

RBID : PMC:5340086

Abstract

Objective: The webbed neck deformity or pterygium colli is the number one symptom of the Turner syndrome that leads the patient to consult a doctor. Various but rare surgical approaches have been described to correct this deformity. We reviewed our experience with the surgical correction of the pterygium colli.

Methods: Through five clinical cases, we describe the surgical technique with a lateral approach which provides a better control of the operative site, allows for the excision of the underlying trapezial fascial web, thus preventing recurrence seen in the posterior approach, and restores a normal hairline.

Results: No postoperative wound infection occurred. No recurrence was observed through 24 months. Three patients developed hypertrophic scars.

Conclusion: The lateral approach associated with an advanced flap and a Z-plasty is an effective technique for correction of this neck deformity. The presence of a multidisciplinary team, formed with maxillofacial and plastic surgeons, endocrinologists and psychologists, is required to treat these patients allowing reintegration into society and family.


Url:
DOI: 10.3205/iprs000106
PubMed: 28275532
PubMed Central: 5340086


Affiliations:


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<bold>Objective:</bold>
The webbed neck deformity or pterygium colli is the number one symptom of the Turner syndrome that leads the patient to consult a doctor. Various but rare surgical approaches have been described to correct this deformity. We reviewed our experience with the surgical correction of the pterygium colli.</p>
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<bold>Methods:</bold>
Through five clinical cases, we describe the surgical technique with a lateral approach which provides a better control of the operative site, allows for the excision of the underlying trapezial fascial web, thus preventing recurrence seen in the posterior approach, and restores a normal hairline. </p>
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<bold>Results:</bold>
No postoperative wound infection occurred. No recurrence was observed through 24 months. Three patients developed hypertrophic scars.</p>
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<bold>Conclusion:</bold>
The lateral approach associated with an advanced flap and a Z-plasty is an effective technique for correction of this neck deformity. The presence of a multidisciplinary team, formed with maxillofacial and plastic surgeons, endocrinologists and psychologists, is required to treat these patients allowing reintegration into society and family.</p>
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