Division of Plastic Surgery, University of Minnesota, Minneapolis.
Department of Plastic Surgery, Gillette Children's Specialty Healthcare, Saint Paul, MN.
J Craniofac Surg. 2022;33(8):2644-2649. doi: 10.1097/SCS.0000000000008821. Epub 2022 Aug 1.
Webbed neck is a rare condition characterized by bilateral subcutaneous bands, which extend from approximately the mastoid to the acromion. Given its rarity, the literature lacks a review of the techniques used in the repair of this condition. We performed a scoping review to define and summarize the surgical techniques been used in the treatment of webbed neck, with the goal of better equipping the surgeons' armamentarium. Two databases, PubMed and Scopus, were searched from inception through December 27, 2021. Studies were considered for inclusion if they (1) described the webbed neck condition and (2) reported results of surgical correction of this condition. Surgical outcomes and follow-up durations were reported as available. Twenty-two manuscripts were analyzed and included data on 60 patients. The most common syndrome associated with webbed neck was Turner syndrome (48 patients). The most frequently documented procedure technique was a Z-Plasty (38 patients). Other procedures described included: butterfly correction, V-Y Plasty, posterior cervical lift, skin excision, tissue expansion plus skin excision, T to M rearrangement, and subcutaneous fascial excision. Documented complications included hypertrophy of procedure scars or webbed neck recurrence. In summary, we present the first full literature review of the surgical techniques used in the repair of webbed neck. When selecting the technique for repair of the webbed neck, function and cosmesis are important considerations. Future studies should collect standardized outcomes data to appropriately assess and compare the described procedures.
蹼颈是一种罕见的疾病，其特征是双侧皮下束带，从乳突延伸至肩峰。由于其罕见性，文献中缺乏对这种疾病的修复技术的综述。我们进行了范围界定综述，以确定和总结用于治疗蹼颈的手术技术，目的是更好地装备外科医生的手术工具。从建立到 2021 年 12 月 27 日，我们在两个数据库 PubMed 和 Scopus 中进行了搜索。如果研究（1）描述了蹼颈的情况，并且（2）报告了这种情况的手术矫正结果，则考虑纳入研究。报告了手术结果和随访时间。分析了 22 篇手稿，包括 60 名患者的数据。最常见的与蹼颈相关的综合征是特纳综合征（48 例）。最常记录的手术技术是 Z 成形术（38 例）。描述的其他手术包括：蝴蝶矫正术、V-Y 成形术、颈后提升术、皮肤切除术、组织扩张加皮肤切除术、T 到 M 重排术和皮下筋膜切除术。记录的并发症包括手术疤痕增生或蹼颈复发。总之，我们提出了首例关于蹼颈修复手术技术的全面文献综述。在选择修复蹼颈的技术时，功能和美容是重要的考虑因素。未来的研究应收集标准化的结果数据，以适当评估和比较描述的程序。
