Improving Functional and Aesthetic Outcomes in Syndromic Patients With Webbed Neck Deformity

Kouwenberg, Emily Van; Chattha, Anmol; Adetayo, Oluwaseun A.

doi:10.1097/scs.0000000000003531

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…After completion of the title and abstract screen, 41 articles were assessed by full text review according to the aforementioned criteria. Twenty-two manuscripts were deemed to have met full inclusion criteria and were analyzed in the final scoping review 5,6,10,11,15–31. The manuscripts were published across 10 countries between the years of 1980 and 2020.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-two manuscripts were deemed to have met full inclusion criteria and were analyzed in the final scoping review. 5,6,10,11,[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] The manuscripts were published across 10 countries between the years of 1980 and 2020. The full screening and review process according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines is described in Figure 1.…”

Section: Included Studiesmentioning

confidence: 99%

“…The most commonly documented procedure type was a Z-Plasty, which was performed in 38 patients. 5,6,8,17,19,[21][22][23][24][29][30][31] This technique uses extensive anterior flap undermining and transposition of glabrous skin from the anterior of the neck to replace excised abnormal hair from the posterior aspect of the neck (Fig. 2).…”

Section: Surgical Technique and Associated Complications Z-plastymentioning

confidence: 99%

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Surgical Techniques for the Repair of Webbed Neck: A Scoping Review

Jungbauer

Rich

Barta

et al. 2022

Journal of Craniofacial Surgery

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Webbed neck is a rare condition characterized by bilateral subcutaneous bands, which extend from approximately the mastoid to the acromion. Given its rarity, the literature lacks a review of the techniques used in the repair of this condition. We performed a scoping review to define and summarize the surgical techniques been used in the treatment of webbed neck, with the goal of better equipping the surgeons’ armamentarium. Two databases, PubMed and Scopus, were searched from inception through December 27, 2021. Studies were considered for inclusion if they (1) described the webbed neck condition and (2) reported results of surgical correction of this condition. Surgical outcomes and follow-up durations were reported as available. Twenty-two manuscripts were analyzed and included data on 60 patients. The most common syndrome associated with webbed neck was Turner syndrome (48 patients). The most frequently documented procedure technique was a Z-Plasty (38 patients). Other procedures described included: butterfly correction, V-Y Plasty, posterior cervical lift, skin excision, tissue expansion plus skin excision, T to M rearrangement, and subcutaneous fascial excision. Documented complications included hypertrophy of procedure scars or webbed neck recurrence. In summary, we present the first full literature review of the surgical techniques used in the repair of webbed neck. When selecting the technique for repair of the webbed neck, function and cosmesis are important considerations. Future studies should collect standardized outcomes data to appropriately assess and compare the described procedures.

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Section: Resultsmentioning

confidence: 99%

Section: Included Studiesmentioning

confidence: 99%

Section: Surgical Technique and Associated Complications Z-plastymentioning

confidence: 99%

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Surgical Techniques for the Repair of Webbed Neck: A Scoping Review

Jungbauer

Rich

Barta

et al. 2022

Journal of Craniofacial Surgery

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Surgical techniques for the webbed neck: a narrative review with a comparative study and surgical decision-making algorithm for an optimal aesthetic result

Turki¹

2023

Oral Maxillofac Surg

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Pterygium Colli: A Narrative Review with a Comparative Study of Lateral Approach Techniques

Mehri Turki

2024

Facial Plast Surg

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Background and Objective: Pterygium colli or webbed neck is a congenital deformity mainly found in Turner syndrome. It appears as a bilateral triangular fold extending from the mastoid to the acromion with hairy skin abnormality. Structural variation of the fold, as described by Mehri Turki's webbed neck classification, implies appropriate surgical repair. Despite the availability of a range of surgical techniques, it remains difficult to choose the most suitable one. Thus, this report aims to compare the lateral approach techniques by selecting those providing the best results. Material and Methods: A literature search using PubMed and Google Scholar Database identified lateral approach techniques for pterygium colli. A critical reading led us to select criteria for comparison, linked to procedures and results. Moreover, according to aesthetic results, surgical techniques were classified into three categories. Results: 16 articles were published from 1937 to 2020 and enrolling 48 patients were selected. The neck contour was obtained with all procedures. However, scars were hidden at the posterior neck in only 10 reports. Otherwise, the posterior hairline was corrected in only 6 reports. According to these outcomes, a classification of surgical technique was made allowing their pragmatic assessment. Conclusion: An objective assessment of lateral approach techniques was realized to help surgeons choose the most convenient one. From this study, a classification arises, based on aesthetic results, distinguishing three groups of surgical techniques and allowing their comparison. Techniques belonging to Group 2, using cervical advancement flap, were the most suitable, mainly both techniques described by Reichenberger and Mehri Turki.

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Improving Functional and Aesthetic Outcomes in Syndromic Patients With Webbed Neck Deformity

Abstract: A staged, combination approach of endoscopic-assisted fasciectomy and strategic local tissue reconstruction of the posterior hairline to correct WND achieves good functional and aesthetic results and good patient satisfaction. This modification should be considered when managing WND.

Cited by 4 publications

References 15 publications

Surgical Techniques for the Repair of Webbed Neck: A Scoping Review

Surgical Techniques for the Repair of Webbed Neck: A Scoping Review

Surgical techniques for the webbed neck: a narrative review with a comparative study and surgical decision-making algorithm for an optimal aesthetic result

Pterygium Colli: A Narrative Review with a Comparative Study of Lateral Approach Techniques

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