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Surgical correction of the webbed neck: an alternative lateral approach.

Authors
  • Mehri Turki, Imen1
  • 1 Maxillo-Facial and Aesthetic Surgery Department, Mohamed Tahar Maamouri Teaching Hospital, Nabeul, Tunisia.
Type
Published Article
Journal
GMS Interdisciplinary plastic and reconstructive surgery DGPW
Publication Date
2017
Volume
6
Identifiers
DOI: 10.3205/iprs000106
PMID: 28275532
Source
Medline
Keywords
License
Unknown

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.

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