Our Summary

This research paper talks about a birth defect known as webbed neck deformity, which can be found in various syndromes. There are many different surgical methods to correct this deformity, each with its own pros and cons. The main goal of these surgeries is to create a normal neck shape and hairline, minimize noticeable scarring on the front and sides of the neck, and reduce chances of the deformity coming back. The authors of the paper share their experience in treating a case of Turner syndrome - a condition affecting only females, where one of the X chromosomes is missing or partially missing - with webbed neck deformity, using a slightly altered version of a surgical technique known as five-flap Z-plasty.

FAQs

  1. What is the aim of surgery for webbed neck deformity?
  2. What technique was used to manage the case of Turner syndrome with bilateral webbed neck deformity mentioned in the report?
  3. What are the primary goals when correcting webbed neck deformity, as per the literature?

Doctor’s Tip

One helpful tip a doctor might tell a patient about z-plasty is to carefully follow post-operative care instructions to ensure proper healing and minimize scarring. This may include keeping the surgical site clean and dry, avoiding activities that could put strain on the incision site, and attending follow-up appointments as scheduled. It is also important to communicate any concerns or unusual symptoms to your healthcare provider promptly.

Suitable For

Patients with webbed neck deformity, such as those with Turner syndrome, may be recommended for z-plasty surgery. Z-plasty is a surgical technique commonly used to improve the appearance and function of scars, as well as to release tight structures such as the skin in a webbed neck. The goal of z-plasty in these patients is to achieve a more normal neck contour, symmetrical hairline, and minimal scarring. This technique is often recommended to patients with webbed neck deformity to improve their quality of life and self-esteem.

Timeline

  • Before z-plasty: The patient may have been diagnosed with Turner syndrome and bilateral webbed neck deformity, causing aesthetic and functional concerns. The patient may have consulted with a plastic surgeon to discuss surgical options for correcting the webbed neck deformity.

  • During z-plasty: The plastic surgeon performs the modified five-flap Z-plasty technique to correct the webbed neck deformity. The procedure involves making incisions and rearranging tissue to create a more normal neck contour and symmetrical hairline. The goal is to improve the appearance of the neck while minimizing scarring and preventing recurrence of the deformity.

  • After z-plasty: The patient undergoes a period of recovery following the surgical procedure. The patient may experience some discomfort, swelling, and bruising in the days and weeks after surgery. The patient will need to follow post-operative care instructions, including keeping the surgical site clean and avoiding strenuous activities. Over time, the incisions will heal and the patient should see improvement in the appearance of their neck. Follow-up appointments with the plastic surgeon will be scheduled to monitor the healing process and address any concerns. Ultimately, the patient should achieve a more aesthetically pleasing and functional neck contour following the z-plasty procedure.

What to Ask Your Doctor

  1. What is a Z-plasty and how does it work to correct webbed neck deformity?
  2. What are the potential risks and complications associated with Z-plasty surgery?
  3. How long is the recovery process after Z-plasty surgery?
  4. Will I need to follow any specific post-operative care instructions after the surgery?
  5. What are the expected results of Z-plasty surgery for webbed neck deformity in Turner syndrome patients?
  6. Are there any alternative surgical techniques for correcting webbed neck deformity that I should consider?
  7. How many Z-plasty procedures have you performed for webbed neck deformity, and what is your success rate?
  8. Will I need any additional procedures or treatments in the future to maintain the results of the Z-plasty surgery?
  9. Are there any lifestyle changes or precautions I should take after undergoing Z-plasty surgery for webbed neck deformity?
  10. What is the cost of Z-plasty surgery for webbed neck deformity and will my insurance cover it?

Reference

Authors: Mohd Said MT, Halim AS, Mat Zain MA, Koh KL. Journal: Cureus. 2023 May 21;15(5):e39312. doi: 10.7759/cureus.39312. eCollection 2023 May. PMID: 37346202