Congenital Webbing of NeckNCT06446791
Mehri Turki Surgical Technique of the Webbed Neck
A study testing Mehri Turki Surgical Technique of the Webbed Neck in people with Congenital Webbing of Neck, run by Mohamed Tahar Maamouri University Hospital.
Trial summary
The webbed neck is one of the conspicuous deformities of Turner syndrome that presents a surgical challenge. Despite the availability of surgical techniques, surgical outcomes are not always acceptable and recurrence occurs. Read more about this study
- Who is it for?
- Ages 17 to 19 years, women only
- Conditions the study is for
- Congenital Webbing of Neck
- What is being tested?
- Mehri Turki Surgical Technique of the Webbed Neck
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5 participants
- Where
- No sites listed yet
- Study dates
- 27 Jan 2008to 24 Jan 2017
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 17 to 19 years
- Women only
- No healthy volunteers
- Child, Adult
Who may be able to join
- webbed neck with abnormal hairline
Who cannot join
- Surgical contraindication for any health concern
- Puberty age
About this study
Official title: The Lateral Approach of the Webbed Neck: Mehri Turki Surgical Technique
The webbed neck is one of the conspicuous deformities of Turner syndrome that presents a surgical challenge. Despite the availability of surgical techniques, surgical outcomes are not always acceptable and recurrence occurs. Mehri Turki performed a surgical technique based on a latéral cervical approach allowing direct visual control to manage the fibrotic band. It provides a high level of visual control so that vulnerable anatomic structures are easily protected.
Read the detailed description
Five girls between 17 and 19 years old, with Turner syndrome, had a webbed neck (pterygium colli) with low and laterally displaced nuchal hairline. The surgical technique aims to correct neck contour and hairline placement while concealing cervical scars. Thus, Preoperative drawing delimitated the harmful triangular hairy skin next to the fibrous band extending from the mastoid to the acromion. Besides, the predefined design drawings provide the exact placement of the future hairline. Choosing a prone position for bilateral and symmetrical repair, the surgical technique was as follows:
The incision was made at the junction of the hairless skin and the hairy skin from the mastoid up to the lower end of the webbing skin, in front of the acromion and completed by Z plasty to avoid scar contracture. The subcutaneous skin was undermined in the anterolateral direction, exposing the fibrous fascial band which must be excised to prevent recurrence. the harmful skin having a triangular shape was excised considering the future hairline. Skin closure was done after the superior traction of the posterior cervical advancement.
- Conditions
- Congenital Webbing of Neck
- Being tested
- Mehri Turki Surgical Technique of the Webbed Neck
- Keywords
- Congenital abnormalities, Webbed neck, Surgical technique, Turner syndrome, Fetal cystic hygroma, Nuchal fold
- Medical subject headings
- Congenital Abnormalities, Turner Syndrome, Nuchal bleb, familial
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mehri Turki Surgical Technique of the Webbed NeckProcedure or surgery
Also called Mehri Turki Lateral approach Technique for the webbed beck
The incision was made at the junction of the hairless skin and the hairy skin from the mastoid up to the acromion. A subcutaneous undermining allows direct visual control to excise the fibrotic band. Then the hairy skin with a triangular shape was excised. The closure of the defect was done after undermining an anterior cervical flap which was translated in a posterosuperior direction. Z plasty was performed in front of the acromion to prevent scar contracture. Surgical scars are concealed in the hairline which was well placed. The same procedure is done at the same surgical field on the other side to achieve perfect symmetry.
| Study group | Role | What they receive |
|---|---|---|
| Single arm interventionnal study | Other | A lateral approach surgical technique for the treatment of the webbed neck. Receives: Procedure: Mehri Turki Surgical Technique of the Webbed Neck |
What is being measured
The primary outcome is the main question the study is designed to answer.
Neck contour
Number of patient obtaining a normal neck contour without lateral fold
Measured: Just at the postoperative outcome up to 24 months of follow-up
Posterior hairline placement
Number of patients with posterior hairline assent
Measured: Just at the postoperative outcome up to 24 months of follow-up
Scars placement
Number of patients with a placement of scars at the level of the hairline
Measured: Just at the postoperative outcome up to 24 months of follow-up
Secondary outcomes (2)
Scars quality
Scars evaluation according to Vancoover scare scale (VSS) for all patients The quality of post-operative scar was evaluated according to VSS as follows: combinations of 4 criteria (1) height (Normal/ 0; 0-2mm/ 1; 2-5mm/ 2 ; > 5mm / 3) and (2) pliability (Normal 0/ Supple 1/ Yielding 2/ Firm :3 Banding/4, Contracture/5); (3) Pigmentation (Normal : 0/ Hypopigmentation/ 1 Hyperpigmentation/ 2), and (4) Vascularity (Normal/0 Pink/ 1 Red/ 2 Purple/3).
scars quality was judged as follows : Excellent result VSS <1 / Acceptable 1< VSS <5 ; Poor scar >5
Measured: from 8 months up to 24 months
Recurrece of the fold
Number of patients in whom the fold of the neck recurred
Measured: 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jun 2024
- Study start27 Jan 2008
- Primary completion22 Nov 2015
- Study completion24 Jan 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Congenital Webbing of NeckStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Girls with congenital webbed neck deformity underwent the same surgical technique. Outcomes were analysed with long-term follow-up.
- Masking
- None (open label)
- Enrolment
- 5 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mohamed Tahar Maamouri University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Imen Turki Mehri, MD, Mohamed Tahar Maamouri University Hospital
- Investigators
- Imen Mehri Turki, Principal investigator, University Hospital Mohamed Tahar Maamouri. Nabeul, Tunisia
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06446791
- Sponsor's protocol ID
- Hospital MT Maamouri
- Status last verified
- Jun 2024
- First submitted
- 24 May 2024
- Last updated
- 7 Jun 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Mehri Turki I. Surgical correction of the webbed neck: an alternative lateral approach. GMS Interdiscip Plast Reconstr Surg DGPW. 2017 Mar 2;6:Doc04. doi: 10.3205/iprs000106. eCollection 2017.
PubMed 28275532Turki IM. Surgical techniques for the webbed neck: a narrative review with a comparative study and surgical decision-making algorithm for an optimal aesthetic result. Oral Maxillofac Surg. 2024 Jun;28(2):469-484. doi: 10.1007/s10006-023-01166-2. Epub 2023 Jun 20.
PubMed 37340235Mehri Turki I. Pterygium Colli: A Narrative Review with a Comparative Study of Lateral Approach Techniques. Facial Plast Surg. 2025 Oct;41(5):669-676. doi: 10.1055/a-2459-9890. Epub 2024 Nov 6.
PubMed 39504998
Study at a glance
From the registry record, last updated by the sponsor on 7 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Lateral Approach of the Webbed Neck: Mehri Turki Surgical Technique
- ClinicalTrials.gov ID
- NCT06446791
- Acronym / sponsor ID
- Hospital MT Maamouri
- Conditions
- Congenital Webbing of Neck
- Keywords
- Congenital abnormalities, Webbed neck, Surgical technique, Turner syndrome, Fetal cystic hygroma, Nuchal fold
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 5 participants (actual)
- Lead sponsor
- Mohamed Tahar Maamouri University HospitalUniversity, hospital or other
- Study start
- 27 Jan 2008 (actual)
- Primary completion
- 22 Nov 2015 (actual)
- Study completion
- 24 Jan 2017 (actual)
- First posted
- 6 Jun 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The webbed neck is one of the conspicuous deformities of Turner syndrome that presents a surgical challenge. Despite the availability of surgical techniques, surgical outcomes are not always acceptable and recurrence occurs. Mehri Turki performed a surgical technique based on a latéral cervical approach allowing direct visual control to manage the fibrotic band. It provides a high level of visual control so that vulnerable anatomic structures are easily protected.
Detailed description
Five girls between 17 and 19 years old, with Turner syndrome, had a webbed neck (pterygium colli) with low and laterally displaced nuchal hairline. The surgical technique aims to correct neck contour and hairline placement while concealing cervical scars. Thus, Preoperative drawing delimitated the harmful triangular hairy skin next to the fibrous band extending from the mastoid to the acromion. Besides, the predefined design drawings provide the exact placement of the future hairline. Choosing a prone position for bilateral and symmetrical repair, the surgical technique was as follows:
The incision was made at the junction of the hairless skin and the hairy skin from the mastoid up to the lower end of the webbing skin, in front of the acromion and completed by Z plasty to avoid scar contracture. The subcutaneous skin was undermined in the anterolateral direction, exposing the fibrous fascial band which must be excised to prevent recurrence. the harmful skin having a triangular shape was excised considering the future hairline. Skin closure was done after the superior traction of the posterior cervical advancement.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Girls with congenital webbed neck deformity underwent the same surgical technique. Outcomes were analysed with long-term follow-up.
| Arm | Type | Receives |
|---|---|---|
| Single arm interventionnal study | Other | Procedure: Mehri Turki Surgical Technique of the Webbed NeckA lateral approach surgical technique for the treatment of the webbed neck. |
Who may qualify
- Ages
- 17 to 19 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (1 listed)
- webbed neck with abnormal hairline
Key exclusion criteria (2 listed)
- Surgical contraindication for any health concern
- Puberty age
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mehri Turki Surgical Technique of the Webbed NeckAlso: Mehri Turki Lateral approach Technique for the webbed beckThe incision was made at the junction of the hairless skin and the hairy skin from the mastoid up to the acromion. A subcutaneous undermining allows direct visual control to excise the fibrotic band. Then the hairy skin with a triangular shape was excised. The closure of the defect was done after undermining an anterior cervical flap which was translated in a posterosuperior direction. Z plasty was performed in front of the acromion to prevent scar contracture. Surgical scars are concealed in the hairline which was well placed. The same procedure is done at the same surgical field on the other side to achieve perfect symmetry. | Procedure or surgery | Single arm interventionnal study |
Primary outcome
Neck contour
Time frame: Just at the postoperative outcome up to 24 months of follow-up
Number of patient obtaining a normal neck contour without lateral fold
Posterior hairline placement
Time frame: Just at the postoperative outcome up to 24 months of follow-up
Number of patients with posterior hairline assent
Scars placement
Time frame: Just at the postoperative outcome up to 24 months of follow-up
Number of patients with a placement of scars at the level of the hairline
2 secondary outcomes
Scars quality
Time frame: from 8 months up to 24 months
Recurrece of the fold
Time frame: 24 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jun 2024.
- Results publication: PubMed 28275532Mehri Turki I. Surgical correction of the webbed neck: an alternative lateral approach. GMS Interdiscip Plast Reconstr Surg DGPW. 2017 Mar 2;6:Doc04. doi: 10.3205/iprs000106. eCollection 2017.
- Results publication: PubMed 37340235Turki IM. Surgical techniques for the webbed neck: a narrative review with a comparative study and surgical decision-making algorithm for an optimal aesthetic result. Oral Maxillofac Surg. 2024 Jun;28(2):469-484. doi: 10.1007/s10006-023-01166-2. Epub 2023 Jun 20.
- Derived from this study: PubMed 39504998Mehri Turki I. Pterygium Colli: A Narrative Review with a Comparative Study of Lateral Approach Techniques. Facial Plast Surg. 2025 Oct;41(5):669-676. doi: 10.1055/a-2459-9890. Epub 2024 Nov 6.
- Turki IM. Surgical techniques for the webbed neck: a narrative review with a comparative study and surgical decision-making algorithm for an optimal aesthetic result. Oral Maxillofac Surg. 2023Link provided by the sponsor.
- Mehri Turki I. Surgical correction of the webbed neck: an alternative lateral approach. GMS Interdiscip Plast Reconstr Surg DGPW. 2017Link provided by the sponsor.
- Individual participant dataSharing planned: Undecided
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Imen Mehri Turki principal investigator
University Hospital Mohamed Tahar Maamouri. Nabeul, Tunisia
Questions about this trial
What is this clinical trial studying?
A study testing Mehri Turki Surgical Technique of the Webbed Neck in people with Congenital Webbing of Neck, run by Mohamed Tahar Maamouri University Hospital.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 7 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Neck contour (time frame: Just at the postoperative outcome up to 24 months of follow-up). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06446791, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Jun 2024.