M to T Rearrangement: An Approach to Correct Webbed Neck Deformity
For the Noonan syndrome patient, the most concerning physical defect is often congenital webbing of the neck or pterygium colli. We present a patient with pterygium colli and a low and laterally displaced nuchal hairline. Since its description, various surgical approaches have been implemented to co...
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/682806 |
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| author | Ananth S. Murthy Margeaux McGraw |
| author_facet | Ananth S. Murthy Margeaux McGraw |
| author_sort | Ananth S. Murthy |
| collection | DOAJ |
| description | For the Noonan syndrome patient, the most concerning physical defect is often congenital webbing of the neck or pterygium colli. We present a patient with pterygium colli and a low and laterally displaced nuchal hairline. Since its description, various surgical approaches have been implemented to correct the deformity. Previously reported posterior and lateral approaches have notable disadvantages with regard to hairline displacement and recurrence. In order to address these disadvantages, a new surgical technique was used on this patient. We have termed this technique an M to T rearrangement. Using a lateral approach, the M and T incisions are made and the trapezial fascial web is directly visualized and able to be completely excised. This prevents the recurrence seen with the use of posterior techniques. Inferolateral displacement of hair-bearing skin can be removed with resection of the superior intervening triangle and improves the appearance of the low nuchal hairline. The excision of excess skin along with the zig-zag closure also prevents postoperative scar contraction and recurrence. An important effect of this technique is the prevention of anterior displacement of hair bearing skin. M to T rearrangement is an effective technique for the correction of webbed neck deformities seen in Noonan and Turner syndromes. |
| format | Article |
| id | doaj-art-336cf1beb0d44d22bfb6815c1dce96d5 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
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| series | Case Reports in Medicine |
| spelling | doaj-art-336cf1beb0d44d22bfb6815c1dce96d52025-02-03T05:59:21ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/682806682806M to T Rearrangement: An Approach to Correct Webbed Neck DeformityAnanth S. Murthy0Margeaux McGraw1Division of Plastic Surgery, Akron Children’s Hospital, One Perkins Square, Akron, OH 44308, USAThe University of Toledo College of Medicine, Toledo, OH 43606, USAFor the Noonan syndrome patient, the most concerning physical defect is often congenital webbing of the neck or pterygium colli. We present a patient with pterygium colli and a low and laterally displaced nuchal hairline. Since its description, various surgical approaches have been implemented to correct the deformity. Previously reported posterior and lateral approaches have notable disadvantages with regard to hairline displacement and recurrence. In order to address these disadvantages, a new surgical technique was used on this patient. We have termed this technique an M to T rearrangement. Using a lateral approach, the M and T incisions are made and the trapezial fascial web is directly visualized and able to be completely excised. This prevents the recurrence seen with the use of posterior techniques. Inferolateral displacement of hair-bearing skin can be removed with resection of the superior intervening triangle and improves the appearance of the low nuchal hairline. The excision of excess skin along with the zig-zag closure also prevents postoperative scar contraction and recurrence. An important effect of this technique is the prevention of anterior displacement of hair bearing skin. M to T rearrangement is an effective technique for the correction of webbed neck deformities seen in Noonan and Turner syndromes.http://dx.doi.org/10.1155/2014/682806 |
| spellingShingle | Ananth S. Murthy Margeaux McGraw M to T Rearrangement: An Approach to Correct Webbed Neck Deformity Case Reports in Medicine |
| title | M to T Rearrangement: An Approach to Correct Webbed Neck Deformity |
| title_full | M to T Rearrangement: An Approach to Correct Webbed Neck Deformity |
| title_fullStr | M to T Rearrangement: An Approach to Correct Webbed Neck Deformity |
| title_full_unstemmed | M to T Rearrangement: An Approach to Correct Webbed Neck Deformity |
| title_short | M to T Rearrangement: An Approach to Correct Webbed Neck Deformity |
| title_sort | m to t rearrangement an approach to correct webbed neck deformity |
| url | http://dx.doi.org/10.1155/2014/682806 |
| work_keys_str_mv | AT ananthsmurthy mtotrearrangementanapproachtocorrectwebbedneckdeformity AT margeauxmcgraw mtotrearrangementanapproachtocorrectwebbedneckdeformity |