Surgical Correction of a Webbed-Neck Deformity in Turner’S Syndrome

• Authors: Tomasz Zieliński , Katarzyna Lorenc-Podgórska , Bogusław Antoszewski
• Languages of publication: EN

Abstracts

EN

Turner’s syndrome occurs in approximately 1 out of every 2,000 to 2,500 live-born girls. This genetically determined pathology is characterised by multiple congenital anomalies. A typical form of this syndrome is associated with a lack of one of the sex chromosomes (karyotype 45, X). From the point of view of plastic surgery, one of the most important elements of the therapy is correction of the webbed neck deformity. The aim of the study was to present the possibilities of surgical treatment of a webbed neck of patients with Turner’s syndrome and the evaluation of treatment results. In the years 2000-2012, six children with Turner’s syndrome were treated because of the webbed neck deformity. The age of patients ranged from 9 to 17 years. In the case of all patients, the aim was to distribute the neck skin folds by using Z-plasty in conjunction with a shift to the back of glabrous skin flaps mobilised from the anterolateral surface of the neck. In the case of four operated patients, the folds were completely removed and a correct symmetrical outline of the neck was obtained. One patient was found to have unilateral moderate webbed neck recurrence after about 2 years of treatment. In one case, the correction was insufficient. The performed surgical procedures enabled correction of low hairline only in the lateral parts of the neck. The lower line of the scalp in the central part of the neck has remained unchanged.The lateral approach with a shift of glabrous skin flap to the back, which we performed, allows for effective reduction of the webbed neck, excision of bands of the connective tissue and correction of the low hairline on the side of the neck. Z-plasty enables an adequate extension of scars and improves the contour of the neck.

Keywords

EN

web neck deformity; Turner’s syndrome; surgical correction

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 87
• Issue: 3
• Pages: 134-138

Dates

published

1 - 3 - 2015

received

25 - 6 - 2014

online

3 - 7 - 2015

Contributors

author

Tomasz Zieliński

• Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University in Łódź Kierownik: prof. dr hab. B. Antoszewski

author

Katarzyna Lorenc-Podgórska

• Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University in Łódź Kierownik: prof. dr hab. B. Antoszewski

author

Bogusław Antoszewski

• Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University in Łódź Kierownik: prof. dr hab. B. Antoszewski

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Identifiers

DOI

10.1515/pjs-2015-0033