Double-opposing Z-plasty for correction of midline cervical web.
Midline cervical web is a rare congenital anomaly that may be associated with a spectrum of midline developmental anomalies of the neck, lower face, and mandible. The clinical hallmark is a fibrous band typically extending from the symphysis of the mandible to the suprasternal notch. Various techniques have been used for surgical correction and generally have involved excision either with a straight-line closure or the incorporation of a Z-plasty. The Z-plasty method usually has included only skin and subcutaneous fat, but the development and transposition of composite skin-platysma flaps has been used. The authors describe the correction of a midline cervical web designed with double-opposing Z-plasties of skin and subcutaneous fat and platysma muscle mobilized and transposed separately. This technique provides two primary benefits: creation of a well-defined cervicomental angle, and correction of the vertical soft tissue deficiency in the anterior neck.
D002675:Child, Preschool; D006801:Humans; D008297:Male; D009333:Neck / Q000002:abnormalities* / Q000601:surgery*; D009334:Neck Muscles / Q000002:abnormalities / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012868:Skin Abnormalities / Q000601:surgery; D013524:Surgical Flaps