{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T08:22:14Z","timestamp":1759134134976,"version":"3.44.0"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Pterygium colli or webbed neck is a congenital deformity mainly found in Turner syndrome. It appears as a bilateral triangular fold extending from the mastoid to the acromion with hairy skin abnormality. Structural variation of the fold, as described by Mehri Turki's webbed neck classification, implies appropriate surgical repair. Despite the availability of a range of surgical techniques, it remains difficult to choose the most suitable one. Thus, this report aims to compare the lateral approach techniques by selecting those providing the best results. A literature search using PubMed and Google Scholar Database identified lateral approach techniques for pterygium colli. A critical reading led us to select criteria for comparison, linked to procedures and results. Moreover, according to aesthetic results, surgical techniques were classified into three categories. A total 16 articles were published from 1937 to 2020 and enrolling 48 patients were selected. The neck contour was obtained with all procedures. However, scars were hidden at the posterior neck in only 10 reports. Otherwise, the posterior hairline was corrected in only 6 reports. According to these outcomes, a classification of surgical technique was made allowing their pragmatic assessment. An objective assessment of lateral approach techniques was realized to help surgeons choose the most convenient one. From this study, a classification arises, based on aesthetic results, distinguishing three groups of surgical techniques and allowing their comparison. Techniques belonging to Group 2, using cervical advancement flap, were the most suitable, mainly both techniques described by Reichenberger and Mehri Turki.<\/jats:p>","DOI":"10.1055\/a-2459-9890","type":"journal-article","created":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T19:09:54Z","timestamp":1730920194000},"page":"669-676","source":"Crossref","is-referenced-by-count":1,"title":["Pterygium Colli: A Narrative Review with a Comparative Study of Lateral Approach Techniques"],"prefix":"10.1055","volume":"41","clinical-trial-number":[{"clinical-trial-number":"nct06446791","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4368-1427","authenticated-orcid":false,"given":"Imen","family":"Mehri Turki","sequence":"additional","affiliation":[{"name":"Stomatology Maxillo-Facial Reconstructive and Aesthetic Surgery Department, Mohamed Tahar Maamouri University Hospital, Nabeul, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,11,29]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1097\/00006534-198402000-00011","article-title":"Lateral cervical advancement flaps for the correction of webbed-neck deformity","volume":"73","author":"F J Menick","year":"1984","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3109\/01674829809044216","article-title":"Psychological aspects of Turner syndrome","volume":"19","author":"U W Boman","year":"1998","journal-title":"J Psychosom Obstet Gynaecol"},{"key":"ref3","first-page":"Doc04","article-title":"Surgical correction of the webbed neck: an alternative lateral approach","volume":"6","author":"I Mehri Turki","year":"2017","journal-title":"GMS Interdiscip Plast Reconstr Surg DGPW"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1007\/BF02792010","article-title":"Pterygium colli","volume":"63","author":"Funke Funke","year":"1902","journal-title":"Deutsche Zeitschrift f Chirurgie."},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1177\/0967772018783379","article-title":"Oskar Kobyli\u0144ski (1856-1926) and the first description of Noonan syndrome in the medical literature","volume":"28","author":"F Marcinowski","year":"2020","journal-title":"J Med Biogr"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/j.jpedsurg.2012.11.054","article-title":"Surgical correction of pterygium colli","volume":"48","author":"M A Reichenberger","year":"2013","journal-title":"J Pediatr Surg"},{"issue":"03","key":"ref7","first-page":"798","article-title":"Webbed neck (pterygium colli)","volume":"53","author":"F A Chandler","year":"1937","journal-title":"Am J Dis Child"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/0007-1226(90)90051-Z","article-title":"Web neck deformity; anatomical considerations and options in surgical management","volume":"43","author":"S J Thomson","year":"1990","journal-title":"Br J Plast Surg"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1542\/peds.23.5.885","article-title":"Congenital anomalies associated with gonadal aplasia; review of 55 cases","volume":"23","author":"H M Haddad","year":"1959","journal-title":"Pediatrics"},{"volume-title":"Congenital webbing of the neck","year":"2009","author":"D W MacCollum","key":"ref10"},{"issue":"14","key":"ref11","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1056\/NEJM198310063091403","article-title":"Fetal cystic hygroma. Cause and natural history","volume":"309","author":"F A Chervenak","year":"1983","journal-title":"N Engl J Med"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1097\/01.AOG.0000201979.23031.32","article-title":"Cystic hygromas, nuchal edema, and nuchal translucency at 11-14 weeks of gestation","volume":"107","author":"F S Molina","year":"2006","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1093\/humrep\/14.3.823","article-title":"Lymphatic vessel hypoplasia in fetuses with Turner syndrome","volume":"14","author":"C S von Kaisenberg","year":"1999","journal-title":"Hum Reprod"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/j.anplas.2010.10.017","article-title":"Pterygium colli: reprise d'une correction chirurgicale d'un cas s\u00e9v\u00e8re","volume":"57","author":"C MZ Posso","year":"2012","journal-title":"Ann Chir Plast Esthet"},{"issue":"03","key":"ref15","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1007\/BF01002053","article-title":"A variant of Noonan's syndrome: bilateral axillary web deformity and correction of the web with five flap V\u2013V advancement and Z-plasty techniques","volume":"20","author":"B Celikoz","year":"1997","journal-title":"Eur J Plast Surg"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1515\/pjs-2015-0033","article-title":"Surgical correction of a webbed-neck deformity in Turner's syndrome","volume":"87","author":"T Zieli\u0144ski","year":"2015","journal-title":"Pol Przegl Chir"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.anplas.2019.05.005","article-title":"Surgical correction of pterygium colli on black skin: benefit-risk in plastic surgery","volume":"65","author":"K Kibadi","year":"2020","journal-title":"Ann Chir Plast Esthet"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/S0002-9610(56)80022-6","article-title":"Congenital webbing of the neck (pterygium colli)","volume":"92","author":"A D Davis","year":"1956","journal-title":"Am J Surg"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"682806","DOI":"10.1155\/2014\/682806","article-title":"M to T rearrangement: an approach to correct webbed neck deformity","volume":"2014","author":"A S Murthy","year":"2014","journal-title":"Case Rep Med"},{"issue":"02","key":"ref20","doi-asserted-by":"crossref","first-page":"117","DOI":"10.5114\/pdia.2014.40917","article-title":"Hypertrophic scars in a patient with Turner's syndrome treated with recombinant growth hormone","volume":"31","author":"A K\u0119dzia","year":"2014","journal-title":"Postepy Dermatol Alergol"},{"issue":"02","key":"ref21","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/BF02892641","article-title":"Correction of pterygium colli deformity in Ullrich-Noonan syndrome","volume":"12","author":"N Durak","year":"1989","journal-title":"Eur J Plast Surg"},{"issue":"03","key":"ref22","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1597\/1545-1569_2002_039_0261_mzprow_2.0.co_2","article-title":"Modified Z-plasty repair of webbed neck deformity seen in Turner and Klippel-Feil syndrome","volume":"39","author":"K R Hikade","year":"2002","journal-title":"Cleft Palate Craniofac J"},{"issue":"06","key":"ref23","doi-asserted-by":"crossref","first-page":"e46","DOI":"10.1097\/GOX.0b013e3182a8c597","article-title":"The \u201cposterior cervical lift\u201d: a new approach to pterygium colli management","volume":"1","author":"B Chaput","year":"2013","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"01","key":"ref24","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1097\/00006534-198007000-00025","article-title":"Butterfly correction of webbed-neck deformity in Turner's syndrome","volume":"66","author":"J C Shearin Jr","year":"1980","journal-title":"Plast Reconstr Surg"},{"issue":"02","key":"ref25","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/s10006-023-01166-2","article-title":"Surgical techniques for the webbed neck: a narrative review with a comparative study and surgical decision-making algorithm for an optimal aesthetic result","volume":"28","author":"I M Turki","year":"2024","journal-title":"Oral Maxillofac Surg"},{"issue":"03","key":"ref26","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1097\/00006534-199703000-00042","article-title":"Web neck deformity in Turner syndrome","volume":"99","author":"T J Gargan","year":"1997","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref27","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.bjps.2006.02.008","article-title":"Noonan syndrome and correction of the webbed neck","volume":"60","author":"J G Qian","year":"2007","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"04","key":"ref28","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1097\/SCS.0000000000003531","article-title":"Improving functional and aesthetic outcomes in syndromic patients with webbed neck deformity: utilizing a staged endoscopic-assisted approach to improve the posterior hairline and decrease scar burden","volume":"28","author":"E Van Kouwenberg","year":"2017","journal-title":"J Craniofac Surg"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2459-9890.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T23:09:52Z","timestamp":1758064192000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2459-9890"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,6]]},"references-count":28,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2025,9,16]]},"published-print":{"date-parts":[[2025,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2459-9890","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"type":"print","value":"0736-6825"},{"type":"electronic","value":"1098-8793"}],"subject":[],"published-other":{"date-parts":[[2024,11,6]]},"published":{"date-parts":[[2024,11,6]]}}}