Clinical trial NCT06446791: Mehri Turki Surgical Technique of the Webbed Neck
Official title: The Lateral Approach of the Webbed Neck: Mehri Turki Surgical Technique
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Congenital Webbing of Neck
Keywords: Congenital abnormalities
Webbed neck
Surgical technique
Turner syndrome
Fetal cystic hygroma
Nuchal fold
Lead sponsor: Mohamed Tahar Maamouri University Hospital
Sponsor class: OTHER
First posted: 2024-06-06
Enrollment: 5
Sex: FEMALE
Minimum age (years): 17
Maximum age (years): 19
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Girls with congenital webbed neck deformity underwent the same surgical technique.

Outcomes were analysed with long-term follow-up.
Primary purpose: OTHER

Brief summary: 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.

Detailed 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.

Eligibility criteria: Inclusion Criteria:

* webbed neck with abnormal hairline

Exclusion Criteria:

* Surgical contraindication for any health concern
* Puberty age

Primary outcomes:
measure: Neck contour
timeFrame: Just at the postoperative outcome up to 24 months of follow-up
measure: Posterior hairline placement
timeFrame: Just at the postoperative outcome up to 24 months of follow-up
measure: Scars placement
timeFrame: Just at the postoperative outcome up to 24 months of follow-up
Secondary outcomes:
measure: Scars quality
timeFrame: from 8 months up to 24 months
measure: Recurrece of the fold
timeFrame: 24 months
Other outcomes:
Locations:
Study officials:
affiliation: University Hospital Mohamed Tahar Maamouri. Nabeul, Tunisia
name: Imen Mehri Turki
role: PRINCIPAL_INVESTIGATOR
References:
citation: Mehri Turki I. Surgical correction of the webbed neck: an alternative lateral approach. GMS Interdiscip Plast Reconstr Surg DGPW. 2017 Mar 2;6:Doc04. doi: 10.3205/iprs000106. eCollection 2017.
citation: Turki IM. Surgical techniques for the webbed neck: a narrative review with a comparative study and surgical decision-making algorithm for an optimal aesthetic result. Oral Maxillofac Surg. 2024 Jun;28(2):469-484. doi: 10.1007/s10006-023-01166-2. Epub 2023 Jun 20.