Huttin Charline, Ringenbach Patrick, Durry Anastasia, Hogas Mihai, Popescu Ionut Raducu, Ciobica Alin, Nastasa Mihaela Elena
Service de Chirurgie Plastique, Reconstructive et Esthétique, CHU Hautepierre, 1 Avenue Molière, 67200 Strasbourg, France.
Service de Chirurgie Plastique, Reconstructive et Esthétique, GHR Mulhouse, 20 Avenue du Dr René Laennec, 68100 Mulhouse, France.
Biomedicines. 2023 Mar 22;11(3):984. doi: 10.3390/biomedicines11030984.
Pterygium Colli or "palmate neck" is a congenital malformation that is most often part of a polimalformative syndrome. This deformity is a source of aesthetic and social embarrassment. Its correction is surgical. We present the case of a pterygium colli in a patient with Noonan syndrome. He had a significant excess of skin with posterior skin laxity, causing significant social discomfort and imposing a vicious attitude, the head bent forward. We performed a posterolateral resection of this excess by resecting two posterior triangular flaps with a resulting t-shaped scar. The results were satisfactory; the excess skin was almost completely resorbed with minimal scarring. However, this technique did not correct the low lateral hairline implantation, and there were still two lateral flaps for which the patient did not wish to have a repeat surgery.
蹼颈或“掌状颈”是一种先天性畸形，通常是多畸形综合征的一部分。这种畸形会导致美观和社交方面的尴尬。其矫正方法是手术。我们介绍一例患有努南综合征的患者的蹼颈病例。他有大量多余皮肤且后部皮肤松弛，造成严重的社交不适，并导致头部前倾的不良姿势。我们通过切除两个后三角皮瓣对多余皮肤进行后外侧切除，形成了一个T形瘢痕。结果令人满意；多余皮肤几乎完全吸收，瘢痕极小。然而，该技术并未矫正低位外侧发际线植入问题，并且仍有两个外侧皮瓣，患者不希望再次手术处理。
