title: The "posterior cervical lift": a new approach to pterygium colli management.
abstract: BACKGROUND
  The prevalence of pterygium colli ("webbed neck") is 75% in patients with Turner syndrome. This congenital deformity manifests as a bilateral cervical skin fold stretching from the mastoid to the acromion. Although the visibility of this skin fold varies among patients, it frequently has negative social effects. The surgical management of this malformation remains challenging as it requires the achievement of a harmonious neck profile and natural hairline implantation.
  
  
  METHODS
  We describe a series of 5 girls with Turner syndrome who were managed in our department at the University Hospital Center of Toulouse-Rangueil, France. All patients benefited from a surgical approach based on a new posterior technique, including half-moon resection of the skin fold with an inferior back-cut and suturing of the superficial lamina of the cervical fascia. To ensure solidity, the fascia was fastened to the nuchal ligament.
  
  
  RESULTS
  Patients' mean age at surgery was 10 years (range, 6-13 y). The mean duration of follow-up was 13.7 years (range, 2-20 y). No scar enlargement or recurrence was remotely authenticated. The patients were satisfied with the cosmetic results, including an esthetic neck profile and recovery of hairline implantation.
  
  
  CONCLUSIONS
  The "posterior cervical lift," an innovative surgical technique for the management of pterygium colli, achieved satisfying cosmetic outcomes and stability over time.
authors.affiliation: Plastic and Reconstructive Surgery Unit, Faculty of Medicine, University Toulouse Rangueil, Toulouse, France; Anatomy Laboratory of Purpan, Faculty of Medicine, Toulouse, France; and Department of Plastic and Craniofacial Pediatric Surgery, Faculty of Medicine, University of Montpellier, Montpellier, Cedex, France.
authors.forename: Benoit
authors.initials: B
authors.lastname: Chaput
authors.affiliation: Plastic and Reconstructive Surgery Unit, Faculty of Medicine, University Toulouse Rangueil, Toulouse, France; Anatomy Laboratory of Purpan, Faculty of Medicine, Toulouse, France; and Department of Plastic and Craniofacial Pediatric Surgery, Faculty of Medicine, University of Montpellier, Montpellier, Cedex, France.
authors.forename: Jean Pierre
authors.initials: JP
authors.lastname: Chavoin
authors.affiliation: Plastic and Reconstructive Surgery Unit, Faculty of Medicine, University Toulouse Rangueil, Toulouse, France; Anatomy Laboratory of Purpan, Faculty of Medicine, Toulouse, France; and Department of Plastic and Craniofacial Pediatric Surgery, Faculty of Medicine, University of Montpellier, Montpellier, Cedex, France.
authors.forename: Raphael
authors.initials: R
authors.lastname: Lopez
authors.affiliation: Plastic and Reconstructive Surgery Unit, Faculty of Medicine, University Toulouse Rangueil, Toulouse, France; Anatomy Laboratory of Purpan, Faculty of Medicine, Toulouse, France; and Department of Plastic and Craniofacial Pediatric Surgery, Faculty of Medicine, University of Montpellier, Montpellier, Cedex, France.
authors.forename: Thomas
authors.initials: T
authors.lastname: Meresse
authors.affiliation: Plastic and Reconstructive Surgery Unit, Faculty of Medicine, University Toulouse Rangueil, Toulouse, France; Anatomy Laboratory of Purpan, Faculty of Medicine, Toulouse, France; and Department of Plastic and Craniofacial Pediatric Surgery, Faculty of Medicine, University of Montpellier, Montpellier, Cedex, France.
authors.forename: Florian
authors.initials: F
authors.lastname: Nadon
authors.affiliation: Plastic and Reconstructive Surgery Unit, Faculty of Medicine, University Toulouse Rangueil, Toulouse, France; Anatomy Laboratory of Purpan, Faculty of Medicine, Toulouse, France; and Department of Plastic and Craniofacial Pediatric Surgery, Faculty of Medicine, University of Montpellier, Montpellier, Cedex, France.
authors.forename: Christian
authors.initials: C
authors.lastname: Herlin
authors.affiliation: Plastic and Reconstructive Surgery Unit, Faculty of Medicine, University Toulouse Rangueil, Toulouse, France; Anatomy Laboratory of Purpan, Faculty of Medicine, Toulouse, France; and Department of Plastic and Craniofacial Pediatric Surgery, Faculty of Medicine, University of Montpellier, Montpellier, Cedex, France.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Garrido
authors.affiliation: Plastic and Reconstructive Surgery Unit, Faculty of Medicine, University Toulouse Rangueil, Toulouse, France; Anatomy Laboratory of Purpan, Faculty of Medicine, Toulouse, France; and Department of Plastic and Craniofacial Pediatric Surgery, Faculty of Medicine, University of Montpellier, Montpellier, Cedex, France.
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Grolleau