[Possibilities for correcting the neck profile in pterygium colli].

Pterygium colli is characterized by bilateral webbing of the neck extending from the mastoid to the acromion. There is a broad variation in aetiology, very often chromosomal and congenital diseases are included, and most of the known cases present in association with Turner's syndrome. In one case we applied a posterior approach for correction of the webbed neck defect, which involved wide anterolateral skin undermining and skin resections from the nape of the neck. The redundant tissue and underlying defect are corrected and the resultant scar is hidden in the scalp. In two other cases a Z-plasty procedure was used to reduce the hypertrophic tissue, leaving the hairline in the original course. On the long-term follow-up all cases presented with improved aesthetic results, but showed hypertrophic scars.