Webbed neck8/5/2023 ![]() Various incisions may be used and are referred to as “Butterfly, “V-Y”, and “T”. The goals of surgery for neck webbing are to create a normal neck contour, re-establish a more normal hairline, and remove fibrous bands to prevent recurrent webbing while avoiding obvious scarring.Ī lateral z-plasty surgery disrupts fibrous band but leaves obvious scars and an abnormal hairlineĪ pullback re-drapes the webbed skin to replace the skin removed from the bottom of the scalp. Surgery may be performed at any age after a thorough consultation with a craniofacial surgeon. The best time to surgically correct neck webbing is after a child is potty trained and prior to school age (4-5 years), to avoid social stigma. Low hairline in TS may extend down the neck to shoulder levelĮyelids drooping optional techniques include the del Campo technique and VW-plasty variations. Physical characteristics associated with TS that may be responsive to plastic surgery include: Physically repairing neck webbing may restore the function and form of the neck and may enhance your psychological well-being. Some with TS highly recommend surgery while others feel the surgery didn't improve their appearance as much as they expected. Finding the best haircut may allow your long thick hair to hide your neck or you may choose to shave your hairline and even add a design to show off your uniqueness. Remember, you may be your worst critic and notice differences in your appearance more than others. You may accept your appearance and undergo surgical treatment options. The skin stretching from swelling then sagging, resulting in a webbed appearance. The soft tissues in the back of the neck stretching due to fluid accumulation The lymphatic system not forming properly before birth Hair covering the webbed skin at and below the hairlineĬauses of neck webbing and low hairline could include: The shoulders appearing elevated, although no muscles are involved in neck webbing ![]() The bands may limit the neck from moving effectively Soft tissue layers beneath the skin on the head, becoming secured by fibrous bands that stretchįrom behind the ears to the shoulders. Loose skin at the back of the scalp, from ear to earĪ shortage of skin from the top of the neck to the bottom Neck webbing and a low hairline result in: Intervene to lessen the appearance of these traits. Some individuals may experience constrained neck movement while others opt to surgically Neck webbing is present at birth and is not something that develops over time. But sometimes, it’s hard to recognize and diagnose.Neck webbing and a low hairline are common physical characteristics found in those with Most of the time, they’ll know your baby has this condition at birth or shortly after by examining them. Your doctor might also suspect Noonan syndrome if you have abnormal results on a specialized prenatal test, called a maternal serum triple screen. Problems with their heart structure or other structural problems.Extra amniotic fluid around your baby in the amniotic sac.Mild intellectual or development disability (although most have normal intelligence)īefore your baby is born, your doctor might consider that he has Noonan syndrome if a pregnancy ultrasound shows:.Feeding problems (these usually improve by age 1 or 2).Testes that don’t descend - this can cause infertility.Prolonged bleeding after an injury or surgery.Swelling and weakening of the heart muscle.Narrowing of the valve that moves blood from the heart to the lungs.Most babies with Noonan syndrome are also born with heart disease. There are many symptoms, and they may be mild, moderate, or severe. The altered gene happens for the first time while you are still in the womb.The gene mutation is passed down to you by one parent.There are two ways you can get this syndrome: Scientists have identified four genes involved in the syndrome: PTPN11, SOS1, RAF1, and KRAS. Noonan syndrome is caused by a genetic defect. There’s no cure for it, but doctors can treat some of the symptoms as they happen. It can cause a wide range of other physical and developmental symptoms that usually start at birth. If you have it, you might have certain identifiable facial features, short height, and unusual chest shape. Noonan syndrome is a rare genetic disorder.
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