Mehri Turki Surgical Technique of the Webbed Neck

Mohamed Tahar Maamouri University Hospital

Status: Completed

Conditions: Congenital Webbing of Neck

Treatments: Procedure: Mehri Turki Surgical Technique of the Webbed Neck

Study type: Interventional

Funder types: Other

Identifiers

NCT06446791

Hospital MT Maamouri

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 5 patients

Sex: Female

Ages: 17 to 19 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• webbed neck with abnormal hairline

Exclusion criteria

• Surgical contraindication for any health concern
• Puberty age

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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5 participants in 1 patient group

Single arm interventionnal study

Other group

Description:

A lateral approach surgical technique for the treatment of the webbed neck.

Treatment:

Procedure: Mehri Turki Surgical Technique of the Webbed Neck