Web neck deformity; anatomical considerations and options in surgical management

Thomson, Simon; Tanner, N.S.B.; Mercer, D

doi:10.1016/0007-1226(90)90051-z

Cited by 23 publications

(16 citation statements)

References 8 publications

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“…To avoid visible scars, Shearin and Defranzo [8] used a posterior butterfly incision in which the loose skin and subcutaneous tissue was pulled to a midpoint on the back of the neck. The fibrous band was never excised and recurrences were usually seen [9]. Rather than the posterior approach, Menick in 1984 had the idea of using a lateral approach to create a cervical advancement flap and closure with a shape of two “Y”s, without associated Z-plasty [10].…”

Section: Discussionmentioning

confidence: 99%

Surgical correction of the webbed neck: an alternative lateral approach

I¹

2017

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW; 6:Doc04

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Section: Discussionmentioning

confidence: 99%

Surgical correction of the webbed neck: an alternative lateral approach

I¹

2017

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW; 6:Doc04

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“…We oppose lateral techniques for pterygium colli management 7,8,11 and favor posterior techniques, 7,9,10,12–17 following Thomson et al 1 Techniques involving balloon skin expansion have also been described and seem to have yielded good results in isolated cases, 7,18,19 but we do not use them. Expansion could aid posterior techniques by providing vertical laxity, which is especially lacking in pterygium colli.…”

Section: Discussionmentioning

confidence: 99%

“…1 The prominence of the skin fold is variable, but it usually extends from the acromion to the mastoid. Its anterior surface is always hairless, but its posterior surface often has a low hairline that can extend to the nape of the neck.…”

mentioning

confidence: 99%

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The “Posterior Cervical Lift”

Chaput

Chavoin

Lopez

et al. 2013

Plastic and Reconstructive Surgery Global Open

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Background:The prevalence of pterygium colli (“webbed neck”) is 75% in patients with Turner syndrome. This congenital deformity manifests as a bilateral cervical skin fold stretching from the mastoid to the acromion. Although the visibility of this skin fold varies among patients, it frequently has negative social effects. The surgical management of this malformation remains challenging as it requires the achievement of a harmonious neck profile and natural hairline implantation.Methods:We describe a series of 5 girls with Turner syndrome who were managed in our department at the University Hospital Center of Toulouse-Rangueil, France. All patients benefited from a surgical approach based on a new posterior technique, including half-moon resection of the skin fold with an inferior back-cut and suturing of the superficial lamina of the cervical fascia. To ensure solidity, the fascia was fastened to the nuchal ligament.Results:Patients’ mean age at surgery was 10 years (range, 6–13 y). The mean duration of follow-up was 13.7 years (range, 2–20 y). No scar enlargement or recurrence was remotely authenticated. The patients were satisfied with the cosmetic results, including an esthetic neck profile and recovery of hairline implantation.Conclusion:The “posterior cervical lift,” an innovative surgical technique for the management of pterygium colli, achieved satisfying cosmetic outcomes and stability over time.

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“…Konjenital bir deformite olan Pterigium Colli ilk olarak Kobylinski tarafından 1883 yılında tanımlanmıştır (1,2). Servikal cildin fazlalığı her olguda değişken olmakla birlikte, genellikle mastoidden akromiona kadar uzanmaktadır.…”

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