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- Title
Webbed neck syndrome: surgical indication.
- Authors
Sales de Almeida, Francisco; de Oliveira Almeida, Larissa; Oliveira Almeida, Leandro Henrique; Imanishi, Marcelo; Walison de Paula, Paulo
- Abstract
Introduction: The Webbed Neck Syndrome is a congenital or genetic disease which presents a physical deformity associated with psychological discomfort. It may be associated with Turner's, Escobar's, Noonan's, Edwards, Down's syndromes, and trisomy of the 22. There are also reports of its appearance due to impaired jugular lymphatic drainages. Cutaneous folds are present from the mastoids to the acromial region. There are several techniques discussed for the correction of the deformity. These include zetaplasty, elliptical resection, butterfly method and the endoscopic approach. Objectives: To present a surgical technique for correction of the webbed neck syndrome. Reduce the patient's psychological disorders. Resumed report: A 57-year-old JCT patient had a bilateral webbed neck since birth. No etiology was identified. As I wanted to deliver a solution to this case, a bilateral elliptical tissue resection was proposed. The technique consisted of removing the tissue segments that covered the lateral region of the neck, which presented an excess of tissue highlighted and defined by traction. The procedure was performed under general anesthesia. A vertical incision was made elliptically cutting below the mastoid apophysis up to the acromion and slight anterior flexion. The largest width occurred in the middle third with five centimeters. A similar procedure was performed on the contralateral side. Once finished concluded with a primary suture. Conclusion: There was a very high degree of satisfaction by the patient, this allowed an improvement in his self-esteem. The surgical procedure partially corrected the physical deformity.
- Subjects
SURGICAL indications; DOWN syndrome; NECK; PATIENT satisfaction; CONGENITAL disorders
- Publication
International Archives of Otorhinolaryngology, 2022, Vol 26, p65
- ISSN
1809-9777
- Publication type
Case Study