Related Experiment Video
Updated: Mar 7, 2026
05:12
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
5.1K
Improving Functional and Aesthetic Outcomes in Syndromic Patients With Webbed Neck Deformity: Utilizing a Staged
Emily Van Kouwenberg1, Anmol S Chattha, Oluwaseun A Adetayo
1*Division of Plastic Surgery, Albany Medical Center †Albany Medical College, Albany, NY.
The Journal of Craniofacial Surgery
|February 17, 2017
Summary
This study presents a modified, staged surgical approach for webbed neck deformity (WND) and posterior hairline reconstruction. The technique reduces scarring and improves functional and aesthetic outcomes in pediatric patients.
Area of Science:
- Plastic Surgery
- Pediatric Surgery
- Reconstructive Surgery
Background:
- Webbed neck deformity (WND) presents significant functional and psychosocial challenges in children.
- Existing single-stage excision techniques for WND often lead to substantial scarring and residual deformity.
- Optimal surgical correction strategies for WND remain debated.
Observation:
- A modified, staged surgical approach combining endoscopic-assisted fasciectomy with posterior hairline reconstruction was developed.
- This technique utilizes local tissue rearrangement camouflaged within the scalp for hairline correction.
- A retrospective review assessed outcomes over a 2-year period.
Findings:
- Two pediatric patients (Noonan syndrome, Turner syndrome) underwent the modified approach.
- Postoperative results demonstrated improved range of motion, jaw/neckline contour, and hairline definition.
- The modified technique resulted in decreased scar burden compared to traditional methods.
Implications:
- A staged, combined approach offers effective functional and aesthetic correction for WND.
- This method achieves high patient satisfaction and should be considered in WND management.
- The technique minimizes visible scarring, enhancing cosmetic outcomes in pediatric patients.
