Butterfly correction of webbed-neck deformity in Turner's syndrome

A posterior approach is proposed for correction of the webbed-neck deformity of Turner's syndrome. In this approach, a butterfly-shaped portion of redundant skin is excised posteriorly and the lateral, superior and inferior flaps joined in a double Y midline suture line. This approach avoids the unnatural hairline and noticeable scars characteristic of a lateral approach. We believe that the revision required in the case reported here can be avoided by employing an X-shaped, rather than a double inverted Y-shaped, suture line.