Neck webbed is a congenital neck deformity. There are webs on both sides of the neck and shoulders, and the hairline behind the neck is too low. Neck manifestations of Turner syndrome or Hipfer syndrome possibly caused by gonadal hypoplasia. 1938 Turner reported a syndrome mainly occurring in women, including webbed neck, immature development and cubitus valgus, which was called Turner syndrome. Later, it was found that these patients had congenital ovarian deficiency, and it was found that about 80% of Turner syndrome patients had negative chromatin or lacked typical chromatin. The treatment of webbed neck is mainly surgical plastic surgery. Most of them can be operated simultaneously. Repair with "Z" plasty or local skin flap. The best surgical effect is that the neck web disappears and the appearance is satisfactory.
The clinical manifestation is 1. The sides of the neck are connected to the shoulders.
2. The hairline behind the neck is too low;
3. hypoplasia; Short stature;
4. There may be webbed elbows, webbed knees, epicanthus and other related deformities.
3. Diagnostic basis 1. Congenital medical history;
2. Both sides of the neck are webbed with the shoulders;
3. The hairline behind the neck is too low;
4. hypoplasia;
5. There may be webbed elbows, webbed knees, epicanthus and other related deformities.
4 treatment principles 1. Surgery is the main treatment. Most of them can be operated on both sides at the same time and repaired by "Z" plasty. If there is webbed hair, repair it with local flap.
2. Patients with Turner syndrome receive estrogen therapy.
5 medication principle 1. Under normal circumstances, drugs are mainly "A" and "B";
2. When the postoperative infection is serious, the medication may include the medication limit of "C".
6. Auxiliary inspection 1. In general, the inspection items are mainly check box "A";
2. When necessary, inspection items may include inspection boxes "A", "B" and "C".
7 efficacy evaluation 1. Cure: the neck web disappeared, the appearance was satisfactory, and the surgical wound healed well.
2. Improvement: the web of the neck did not completely disappear, and the surgical incision was generally healed.