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Background: The type of cervical incision is fundamental to achieve an adequate exposure to the lymphatic levels and to be able to perform a complete neck dissection and a proper staging of the patient; incomplete dissection sub-stages and increases the risk of recurrence. The incision must also offer the lowest morbidity, without aesthetic or functional sequelae; it must combine oncological safety with adequate aesthetics, functionality, and quality of life. Material and methods: A retrospective and observational study in which we evaluate the transverse cervical incision by knowing the number of dissected lymph nodes and complications rate associated to the incision. Results: Forty patients, 35 with squamous cell carcinoma metastasis and 5 with melanoma metastasis. The average of dissected lymph nodes was 25. A single incision allowed the dissection of the five ganglion levels; it was not necessary to convert the incision or make vertical enlargements; the cosmetic result was satisfactory in all patients, there were no significant complications. Conclusion: The transverse cervical incision

Disección radical de cuello: abordaje oncológico, estético y funcional en pacientes con cáncer de cabeza y cuello