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PLASTIC AND RECONSTRUCTIVE CONSIDERATIONS IN SELECTING INCISIONS USED FOR RADICAL NECK DISSECTION
Author(s) -
Bakamjian V. Y.,
Marshall Donald
Publication year - 1967
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1967.tb05517.x
Subject(s) - medicine , neck dissection , surgery , dissection (medical) , head and neck , cancer
Summary 1. The radical excision of a head and neck cancer can often be accompanied by the first major step towards acceptable reconstruction in a reasonable time. 2. A convenient donor site for skin flaps to be used in such reconstruction is the neck but this area is frequently compromised by the incisions commonly used for neck dissections. 3. Each case should be approached on its own merits and a decision should be made as to whether a cervical flap is desirable for closing the anticipated defect. 4. If no such flap is needed, then 2 parallel transverse incisions provide sufficient exposure for neck dissection and have appreciable advantages over other approaches. 5. On the other hand, if a flap is considered necessary, the incisions appropriate for the case should be planned initially to allow the most efficient repair. 6. Possible methods for attaining these goals have been shown with examples. 7. A clear plan of reconstruction should be available before proceeding to the excision, as failure to have one may prevent the use of the most convenient and satisfactory method of repair.