Surgical correction of the webbed neck: an alternative lateral approach
Identifieur interne : 000064 ( Pmc/Checkpoint ); précédent : 000063; suivant : 000065Surgical correction of the webbed neck: an alternative lateral approach
Auteurs : Imen Mehri Turki [Tunisie]Source :
- GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW [ 2193-8091 ] ; 2017.
Abstract
Url:
DOI: 10.3205/iprs000106
PubMed: 28275532
PubMed Central: 5340086
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
PMC:5340086Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Surgical correction of the webbed neck: an alternative lateral approach</title><author><name sortKey="Mehri Turki, Imen" sort="Mehri Turki, Imen" uniqKey="Mehri Turki I" first="Imen" last="Mehri Turki">Imen Mehri Turki</name><affiliation wicri:level="1"><nlm:aff id="A1">Maxillo-Facial and Aesthetic Surgery Department, Mohamed Tahar Maamouri Teaching Hospital, Nabeul, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Maxillo-Facial and Aesthetic Surgery Department, Mohamed Tahar Maamouri Teaching Hospital, Nabeul</wicri:regionArea><wicri:noRegion>Nabeul</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28275532</idno><idno type="pmc">5340086</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5340086</idno><idno type="RBID">PMC:5340086</idno><idno type="doi">10.3205/iprs000106</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">002199</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002199</idno><idno type="wicri:Area/Pmc/Curation">002198</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002198</idno><idno type="wicri:Area/Pmc/Checkpoint">000064</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000064</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Surgical correction of the webbed neck: an alternative lateral approach</title><author><name sortKey="Mehri Turki, Imen" sort="Mehri Turki, Imen" uniqKey="Mehri Turki I" first="Imen" last="Mehri Turki">Imen Mehri Turki</name><affiliation wicri:level="1"><nlm:aff id="A1">Maxillo-Facial and Aesthetic Surgery Department, Mohamed Tahar Maamouri Teaching Hospital, Nabeul, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Maxillo-Facial and Aesthetic Surgery Department, Mohamed Tahar Maamouri Teaching Hospital, Nabeul</wicri:regionArea><wicri:noRegion>Nabeul</wicri:noRegion></affiliation></author></analytic><series><title level="j">GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW</title><idno type="eISSN">2193-8091</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><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><p><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><p><bold>Results:</bold> No postoperative wound infection occurred. No recurrence was observed through 24 months. Three patients developed hypertrophic scars.</p><p><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></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Turner, Hh" uniqKey="Turner H">HH Turner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kobylinski, O" uniqKey="Kobylinski O">O Kobylinski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Funke" uniqKey="Funke">Funke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Von Kaisenberg, Cs" uniqKey="Von Kaisenberg C">CS von Kaisenberg</name></author><author><name sortKey="Nicolaides, Kh" uniqKey="Nicolaides K">KH Nicolaides</name></author><author><name sortKey="Brand Saberi, B" uniqKey="Brand Saberi B">B Brand-Saberi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gargan, Tj" uniqKey="Gargan T">TJ Gargan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chandler, Fa" uniqKey="Chandler F">FA Chandler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Foucar, Ho" uniqKey="Foucar H">HO Foucar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shearin, Jc" uniqKey="Shearin J">JC Shearin</name></author><author><name sortKey="Defranzo, Aj" uniqKey="Defranzo A">AJ DeFranzo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thomson, Sj" uniqKey="Thomson S">SJ Thomson</name></author><author><name sortKey="Tanner, Ns" uniqKey="Tanner N">NS Tanner</name></author><author><name sortKey="Mercer, Dm" uniqKey="Mercer D">DM Mercer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Menick, Fj" uniqKey="Menick F">FJ Menick</name></author><author><name sortKey="Furnas, Dw" uniqKey="Furnas D">DW Furnas</name></author><author><name sortKey="Achauer, Bm" uniqKey="Achauer B">BM Achauer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Niranjan, Ns" uniqKey="Niranjan N">NS Niranjan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miller, Lb" uniqKey="Miller L">LB Miller</name></author><author><name sortKey="Kanter, M" uniqKey="Kanter M">M Kanter</name></author><author><name sortKey="Wolfort, F" uniqKey="Wolfort F">F Wolfort</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murthy, As" uniqKey="Murthy A">AS Murthy</name></author><author><name sortKey="Mcgraw, M" uniqKey="Mcgraw M">M McGraw</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">GMS Interdiscip Plast Reconstr Surg DGPW</journal-id><journal-id journal-id-type="iso-abbrev">GMS Interdiscip Plast Reconstr Surg DGPW</journal-id><journal-id journal-id-type="publisher-id">GMS Interdiscip Plast Reconstr Surg DGPW</journal-id><journal-title-group><journal-title>GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW</journal-title></journal-title-group><issn pub-type="epub">2193-8091</issn><publisher><publisher-name>German Medical Science GMS Publishing House</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28275532</article-id><article-id pub-id-type="pmc">5340086</article-id><article-id pub-id-type="publisher-id">iprs000106</article-id><article-id pub-id-type="doi">10.3205/iprs000106</article-id><article-id pub-id-type="publisher-id">Doc04</article-id><article-id pub-id-type="other">urn:nbn:de:0183-iprs0001069</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Surgical correction of the webbed neck: an alternative lateral approach</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mehri Turki</surname><given-names>Imen</given-names></name><xref ref-type="corresp" rid="COR1">*</xref><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Maxillo-Facial and Aesthetic Surgery Department, Mohamed Tahar Maamouri Teaching Hospital, Nabeul, Tunisia</aff><author-notes><corresp id="COR1">*To whom correspondence should be addressed: Imen Mehri Turki, Maxillo-Facial and Aesthetic Surgery Department, Mohamed Tahar Maamouri Teaching Hospital, Nabeul, Tunisia, Phone: 0021694789008, E-mail: <email>turkiymen@yahoo.fr</email></corresp></author-notes><pub-date pub-type="epub"><day>02</day><month>3</month><year>2017</year></pub-date><pub-date pub-type="collection"><year>2017</year></pub-date><volume>6</volume><elocation-id>Doc04</elocation-id><permissions><copyright-statement>Copyright © 2017 Mehri Turki</copyright-statement><copyright-year>2017</copyright-year><license license-type="open-access"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="http://www.egms.de/en/journals/iprs/2017-6/iprs000106.shtml">This article is available from http://www.egms.de/en/journals/iprs/2017-6/iprs000106.shtml</self-uri><abstract><p><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><p><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><p><bold>Results:</bold> No postoperative wound infection occurred. No recurrence was observed through 24 months. Three patients developed hypertrophic scars.</p><p><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></abstract><kwd-group><kwd>webbed neck deformity</kwd><kwd>Turner syndrome</kwd><kwd>surgical technique</kwd><kwd>pterygium colli</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" position="float"><label>Figure 1</label><caption><title>Preoperative drawing: the harmful triangular skin next to the fibrous band</title></caption><graphic xlink:href="IPRS-06-04-g-001"></graphic></fig><fig id="F2" position="float"><label>Figure 2</label><caption><title>Our technical approach: lateral incision (dotted line) allows the dissection of the anterior cervical skin with the excision of the fascial band. The Z-plasty performs the basicervical shape. The triangle represents the surface of skin excision.</title></caption><graphic xlink:href="IPRS-06-04-g-002"></graphic></fig><fig id="F3" position="float"><label>Figure 3</label><caption><title>Preoperative photo</title></caption><graphic xlink:href="IPRS-06-04-g-003"></graphic></fig><fig id="F4" position="float"><label>Figure 4</label><caption><title>Photo one month after surgery</title></caption><graphic xlink:href="IPRS-06-04-g-004"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Tunisie</li></country></list><tree><country name="Tunisie"><noRegion><name sortKey="Mehri Turki, Imen" sort="Mehri Turki, Imen" uniqKey="Mehri Turki I" first="Imen" last="Mehri Turki">Imen Mehri Turki</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Pmc/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000064 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd -nk 000064 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Pmc
|étape= Checkpoint
|type= RBID
|clé= PMC:5340086
|texte= Surgical correction of the webbed neck: an alternative lateral approach
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i -Sk "pubmed:28275532" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |