Turner syndrome surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akash Daswaney, M.B.B.S[2]
Overview
Surgery is indicated for craniofacial anomalies, to decrease the risk of aortic dissection and for congenital pterygium colli.
Surgery
- Surgery is indicated for individuals with an aortic size index > 2.5 centimeter/meter square to prevent sudden cardiac death due to aortic dissection.
- Corrective surgery or bracing might be required for scoliosis. "Turner Syndrome - StatPearls - NCBI Bookshelf".
- Coarctation of aorta requires corrective surgery. [1]
- Cosmetic surgeries for craniofacial anomalies may be performed before the child enters school.
- Prophylactic gonadectomy is performed for detected gonadoblastomas. This prevents their progression to dysgerminomas. [2]
- Pterygium colli or webbed neck which is due to a bilateral cervical skin folding that stretches from the acromion to the mastoid.
- Benoit Chaput et al performed a study to assess the ‘posterior cervical lift’ for pterygium colli. [3]
- This involves suturing of the superficial lamina of the cervical fascia after resecting the skin fold with an inferiorly directed back cut.
- Few post-operative complications and patient satisfaction were seen.
References
- ↑ Cui X, Cui Y, Shi L, Luan J, Zhou X, Han J (2018). "A basic understanding of Turner syndrome: Incidence, complications, diagnosis, and treatment". Intractable Rare Dis Res. 7 (4): 223–228. doi:10.5582/irdr.2017.01056. PMC 6290843. PMID 30560013.
- ↑ Frías JL, Davenport ML, Committee on Genetics and Section on Endocrinology (2003). "Health supervision for children with Turner syndrome". Pediatrics. 111 (3): 692–702. doi:10.1542/peds.111.3.692. PMID 12612263.
- ↑ Chaput B, Chavoin JP, Lopez R, Meresse T, Nadon F, Herlin C; et al. (2013). "The "posterior cervical lift": a new approach to pterygium colli management". Plast Reconstr Surg Glob Open. 1 (6): e46. doi:10.1097/GOX.0b013e3182a8c597. PMC 4174163. PMID 25289240.