The Lateral Approach of the Webbed Neck: Mehri Turki Surgical Technique
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 5
- 主要终点
- Neck contour
研究概览
简要总结
The webbed neck is one of the conspicuous deformities of Turner syndrome that presents a surgical challenge. Despite the availability of surgical techniques, surgical outcomes are not always acceptable and recurrence occurs. Mehri Turki performed a surgical technique based on a latéral cervical approach allowing direct visual control to manage the fibrotic band. It provides a high level of visual control so that vulnerable anatomic structures are easily protected.
详细描述
Five girls between 17 and 19 years old, with Turner syndrome, had a webbed neck (pterygium colli) with low and laterally displaced nuchal hairline. The surgical technique aims to correct neck contour and hairline placement while concealing cervical scars. Thus, Preoperative drawing delimitated the harmful triangular hairy skin next to the fibrous band extending from the mastoid to the acromion. Besides, the predefined design drawings provide the exact placement of the future hairline. Choosing a prone position for bilateral and symmetrical repair, the surgical technique was as follows:
The incision was made at the junction of the hairless skin and the hairy skin from the mastoid up to the lower end of the webbing skin, in front of the acromion and completed by Z plasty to avoid scar contracture. The subcutaneous skin was undermined in the anterolateral direction, exposing the fibrous fascial band which must be excised to prevent recurrence. the harmful skin having a triangular shape was excised considering the future hairline. Skin closure was done after the superior traction of the posterior cervical advancement.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 17 Years 至 19 Years（Child, Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •webbed neck with abnormal hairline
排除标准
- •Surgical contraindication for any health concern
- •Puberty age
结局指标
主要结局
Neck contour
时间窗: Just at the postoperative outcome up to 24 months of follow-up
Number of patient obtaining a normal neck contour without lateral fold
Scars placement
时间窗: Just at the postoperative outcome up to 24 months of follow-up
Number of patients with a placement of scars at the level of the hairline
Posterior hairline placement
时间窗: Just at the postoperative outcome up to 24 months of follow-up
Number of patients with posterior hairline assent
次要结局
- Scars quality(from 8 months up to 24 months)
- Recurrece of the fold(24 months)
研究者
Imen Turki Mehri, MD
Maxillofacial and aesthetic surgeon
Mohamed Tahar Maamouri University Hospital