Attendees will hear from an expert panel on the presentation, work-up, and management of congenital cystic lesions of the head and neck in the pediatric patient. Surgical techniques for excision of cystic lesions will be described in detail including anatomical landmarks, surgical pearls, and common pitfalls. We will also discuss novel surgical approaches, such as minimally invasive techniques.
Z-plasty allows broken-line closure, reorientation of the defect in the horizontal plane with re-creation of a cervicomental angle, and most importantly, a lengthening of the anterior neck skin that aids in preventing recurrent contracture. We present our experience managing a congenital cervical midline cleft in a 3-month-old patient and describe a simple technique for planning the ideal Z-plasty closure. No simple description for planning the ideal closure for this defect could be found in the otolaryngology literature.
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