Lateral cervical approach for the correction of webbed neck deformity.

Abstract

A girl in her early childhood presented with noticeable bilateral webbed neck, extending from the mastoid to the acromion on both sides. Her antenatal history was normal; she reached all her developmental milestones in time. Being concerned about her appearance, her parents sought surgical correction before she started school. Clinically, the webbed neck was soft, non-tender and had a smooth surface with minimal mobility. Neck movements were not restricted; no pain or discharge was seen, and her health was stable with normal vital signs without any evidence of mental retardation. Pre-operative evaluations included a karyotype of 46 XX, normal echocardiography, thyroid profile and abdominal sonogram with normal Mullerian structures. A non-contrast CT scan revealed a taut skin fold with subcutaneous fat on either side of the neck, more pronounced on the right, with no significant vascularity. The lateral cervical approach was used for correction, resulting in a satisfactory cosmetic outcome on follow-up.