Turner syndrome surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgery is indicated for [[craniofacial anomalies]], to decrease the risk of [[aortic dissection]] and for congenital [[pterygium colli]]. | |||
Surgery | ==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]]. {{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK554621/ |title=Turner Syndrome - StatPearls - NCBI Bookshelf |format= |work= |accessdate=}} | |||
*Coarctation of aorta requires corrective surgery. <ref name="pmid30560013">{{cite journal| author=Cui X, Cui Y, Shi L, Luan J, Zhou X, Han J| title=A basic understanding of Turner syndrome: Incidence, complications, diagnosis, and treatment. | journal=Intractable Rare Dis Res | year= 2018 | volume= 7 | issue= 4 | pages= 223-228 | pmid=30560013 | doi=10.5582/irdr.2017.01056 | pmc=6290843 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30560013 }} </ref> | |||
*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]]. <ref name="pmid12612263">{{cite journal| author=Frías JL, Davenport ML, Committee on Genetics and Section on Endocrinology| title=Health supervision for children with Turner syndrome. | journal=Pediatrics | year= 2003 | volume= 111 | issue= 3 | pages= 692-702 | pmid=12612263 | doi=10.1542/peds.111.3.692 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12612263 }} </ref> | |||
*[[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]]. <ref name="pmid25289240">{{cite journal| author=Chaput B, Chavoin JP, Lopez R, Meresse T, Nadon F, Herlin C | display-authors=etal| title=The "posterior cervical lift": a new approach to pterygium colli management. | journal=Plast Reconstr Surg Glob Open | year= 2013 | volume= 1 | issue= 6 | pages= e46 | pmid=25289240 | doi=10.1097/GOX.0b013e3182a8c597 | pmc=4174163 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25289240 }} </ref> | |||
**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. | |||
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==References== | ==References== | ||
Latest revision as of 14:56, 15 September 2020
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Turner syndrome surgery On the Web |
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Risk calculators and risk factors for Turner syndrome surgery |
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.