M to T Rearrangement: An Approach to Correct Webbed Neck Deformity

Figure 2

Markings for an M-T rearrangement. An incision is marked perpendicular to the web to form a “T.” This incision is parallel to a crease in the anterolateral neck. The length of this incision is determined by the pinch test. Then, a triangular flap whose apex is at the intersection of the limbs of the “T” is marked. This is an equilateral triangle, with the limbs and base of the triangle measuring the same length as the releasing incision. The base of the triangular flap is then connected to the superior and inferior edges of the webbing to form an “M.” Note that the inferolateral displacement of hair-bearing skin is present within the superior triangle.