Surgical correction of the webbed neck: an alternative lateral approach

Modified Five-Flap Z-plasty for Surgical Correction of Webbed Neck Deformity in Turner Syndrome

“…The aim of surgical correction of webbed neck deformity is to correct the lateral neck contour deformity, redistribution, or removal of the horizontal excess skin, address the abnormal posterior hairline, avoid excessive scarring over the anterior and lateral neck, and limit recurrence. Surgical correction may be accomplished via lateral [2,4,5] or posterior approach [3,6].…”

“…However, the scar tends to be put under significant tension and spreads over time. As the fibrous band was never excised, the approach is associated with a higher recurrence rate of the web [3,4,6].…”

“…Webbed neck deformity, also known as 'pterygium colli', consists of a subcutaneous band of thickened fascia superficial to the trapezius muscle typically extends from the mastoid to the acromion process [2][3][4]. Apart from Turner syndrome, similar characteristics can also be seen in a number of syndromes such as Noonan syndrome, Klippel-Feil syndrome, and Escobar syndrome [2].…”

“…The aim of surgery is to achieve normal neck contour and symmetrical hairline, avoid excessive scarring over the anterior and lateral neck, and limit recurrence. Various surgical techniques have been described in the literature to achieve the above objectives [2][3][4][5][6]. In this report we described our experience in managing a case of Turner syndrome with bilateral webbed neck deformity that was surgically corrected using modified five-flap Z-plasty, better known as the 'Jumping man' Z-plasty technique.…”