Mehri Turki Surgical Technique of the Webbed Neck

NCT06446791 | Completed DMC

• 1 other identifier: Hospital MT Maamouri
• Study Type: interventional
• Target: 5
• Locations: 0 countries
• Sites: N/A

Brief Summary

The webbed neck is one of the conspicuous deformities of Turner syndrome that presents a surgical challenge. Despite the availability of surgical techniques, surgical outcomes are not always acceptable and recurrence occurs. Mehri Turki performed a surgical technique based on a latéral cervical approach allowing direct visual control to manage the fibrotic band. It provides a high level of visual control so that vulnerable anatomic structures are easily protected.

Conditions

Congenital Webbing of Neck

Keywords

Congenital abnormalities; Webbed neck; Surgical technique; Turner syndrome; Fetal cystic hygroma; Nuchal fold

Outcome Measures

Primary Outcomes (3)

• Neck contour

  Number of patient obtaining a normal neck contour without lateral fold

  Just at the postoperative outcome up to 24 months of follow-up

• Posterior hairline placement

  Number of patients with posterior hairline assent

  Just at the postoperative outcome up to 24 months of follow-up

• Scars placement

  Number of patients with a placement of scars at the level of the hairline

  Just at the postoperative outcome up to 24 months of follow-up

Secondary Outcomes (2)

• Scars quality

  from 8 months up to 24 months

• Recurrece of the fold

  24 months

Study Arms (1)

Single arm interventionnal study

OTHER

A lateral approach surgical technique for the treatment of the webbed neck.

Procedure: Mehri Turki Surgical Technique of the Webbed Neck

Interventions

Mehri Turki Surgical Technique of the Webbed Neck PROCEDURE

The incision was made at the junction of the hairless skin and the hairy skin from the mastoid up to the acromion. A subcutaneous undermining allows direct visual control to excise the fibrotic band. Then the hairy skin with a triangular shape was excised. The closure of the defect was done after undermining an anterior cervical flap which was translated in a posterosuperior direction. Z plasty was performed in front of the acromion to prevent scar contracture. Surgical scars are concealed in the hairline which was well placed. The same procedure is done at the same surgical field on the other side to achieve perfect symmetry.

Also known as: Mehri Turki Lateral approach Technique for the webbed beck

Single arm interventionnal study

Eligibility Criteria

• Age: 17 Years - 19 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• webbed neck with abnormal hairline

You may not qualify if:

• Surgical contraindication for any health concern
• Puberty age

Sponsors & Collaborators

• Mohamed Tahar Maamouri University Hospital: lead

Related Publications (2)

• Mehri Turki I. Surgical correction of the webbed neck: an alternative lateral approach. GMS Interdiscip Plast Reconstr Surg DGPW. 2017 Mar 2;6:Doc04. doi: 10.3205/iprs000106. eCollection 2017.

  PMID: 28275532 RESULT

• Turki IM. Surgical techniques for the webbed neck: a narrative review with a comparative study and surgical decision-making algorithm for an optimal aesthetic result. Oral Maxillofac Surg. 2024 Jun;28(2):469-484. doi: 10.1007/s10006-023-01166-2. Epub 2023 Jun 20.

  PMID: 37340235 RESULT

Related Links

• Turki IM. Surgical techniques for the webbed neck: a narrative review with a comparative study and surgical decision-making algorithm for an optimal aesthetic result. Oral Maxillofac Surg. 2023
• Mehri Turki I. Surgical correction of the webbed neck: an alternative lateral approach. GMS Interdiscip Plast Reconstr Surg DGPW. 2017

MeSH Terms

Conditions

Congenital Abnormalities; Turner Syndrome; Nuchal bleb, familial

Condition Hierarchy (Ancestors)

Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Gonadal Dysgenesis; Disorders of Sex Development; Urogenital Abnormalities; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Sex Chromosome Disorders of Sex Development; Male Urogenital Diseases; Heart Defects, Congenital; Cardiovascular Abnormalities; Cardiovascular Diseases; Heart Diseases; Sex Chromosome Disorders; Chromosome Disorders; Genetic Diseases, Inborn; Gonadal Disorders; Endocrine System Diseases

Study Officials

• Imen Mehri Turki

  University Hospital Mohamed Tahar Maamouri. Nabeul, Tunisia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Maxillofacial and aesthetic surgeon

Model Details: Girls with congenital webbed neck deformity underwent the same surgical technique. Outcomes were analysed with long-term follow-up.

Study Record Dates

• First Submitted: May 24, 2024
• First Posted: June 6, 2024
• Study Start: January 27, 2008
• Primary Completion: November 22, 2015
• Study Completion: January 24, 2017
• Last Updated: June 7, 2024

Record last verified: 2024-06