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Related Experiment Video

Updated: Feb 2, 2026

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
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Modified Posterolateral Approach for Pterygium Colli.

Seiji Komatsu1, Akira Shinaoka2, Yoshihiro Kimata3

  • 1Department of Plastic and Reconstructive Surgery, Okayama Rosai Hospital.

The Journal of Craniofacial Surgery
|November 17, 2018
PubMed
Summary
This summary is machine-generated.

The modified posterolateral approach effectively corrects pterygium colli (web neck deformity) and abnormal hairlines. This surgical technique offers a beneficial solution for congenital neck deformities, maintaining a natural hairline.

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Area of Science:

  • Plastic Surgery
  • Congenital Malformations
  • Syndromology

Background:

  • Pterygium colli is a congenital deformity often associated with various malformation syndromes.
  • Existing surgical procedures for pterygium colli have documented advantages and disadvantages.
  • The modified posterolateral approach is a novel surgical technique for pterygium colli, requiring further clinical validation.

Observation:

  • A case report details the treatment of an 11-year-old girl with Turner syndrome presenting with web neck deformity and abnormal hairline.
  • The modified posterolateral approach was employed, involving excision of excessive skin and flap rotation.
  • A secondary surgery was performed due to patient concerns, followed by a wound complication (suture abscess).

Findings:

  • The primary surgery successfully corrected the web neck deformity and abnormal hairline.
  • Long-term follow-up (65 months) showed no recurrence of the web neck deformity and maintenance of a natural hairline.
  • Despite a minor wound complication and secondary procedure, the overall outcome was positive.

Implications:

  • The modified posterolateral approach appears to be a beneficial surgical option for pterygium colli.
  • This technique allows for the correction of both web neck deformity and abnormal hairline.
  • The approach aims to achieve correction without leaving a noticeable scar, enhancing aesthetic outcomes.