24 views

Bilateral Midline Cervical Cleft Excision of Fibrous Cord – Z Plasty Closure

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.

Excision and Z-Plasty Closure of Midline Cervical Cleft
To increase neck mobility and natural mandibular growth; to establish natural cosmetic neck contour
Where the skin and cutaneous circulation is compromised in such a manner that a transpositional flap (z-plasty) can not be performed
standard soft tissue neck set up with neck extension
physical examination with attention to neck range of motion, mandibular clefting/hypoplasia; no specialized imaging required
Instead of z-plasty one large z-plasty can be performed or multiple z-plasty's can be performed
Complete subcutaneous cord excision enhances surgical results and mobility; Z-plasty lengthens the surgical scar and makes it less cosmetically conspicuous over time
Incomplete excision of the fibrous cord can result in wound contracture and failure to achieve surgical goals; lack of execution of Z-plasty can result in inadvertent neck contracture or sub-optimal scar appearance
None
Dena Zabilka
Int J Pediatr Otorhinolaryngol . 2019 Dec;127:109657. doi: 10.1016/j.ijporl.2019.109657. Epub 2019 Aug 23.

Review Bilateral Midline Cervical Cleft Excision of Fibrous Cord – Z Plasty Closure.

Your email address will not be published. Required fields are marked *

Related Videos

Sponsored Videos

Register today to continue watching

Sign up for our free membership to watch and submit videos today! If you are already a member please log in to access your account.

Sign Up Now

Already a member? Click here to log in

Register today to submit a video

Sign up for our free membership to watch and submit videos today! If you are already a member please log in to access your account.

Sign Up Now

Already a member? Click here to log in

Upgrade your membership to continue watching

Please upgrade to membership to continue watching more videos.

Upgrade Now

Renew your subscription to continue watching

Please renew your subscription to continue watching.

Renew Now

Create An Author

Create A User

Create A Term