Figure - available from: International Archives of Otolaryngology
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A) Unilateral transverse - Horizontal incision B) Incision in J of Paul-Andre. C) Bilateral transverse - Horizontal incision D) Bimastoid incision in U of Gluck-Sorensen-Tapia.
Source publication
Introduction Multiple incisions have been described for the surgical approach of
cervical neck nodes. All of these descriptions are associated with better or worse
exposure of the surgical field as well as with different functional and aesthetic results,
which are not always satisfactory.
Objective Compare the transverse cervical incision with the...
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Tattoos are popular in modern times. Due to the occurance of adverse effects such as poor aesthetic value, scar hyperplasia, and abnormal pigments, there is a high demand for uniform operation standards as well as standards for tattoo technologies. In the present study we used Sprague-Dawley rats to assess the tattoo removal efficacy of...
Citations
... In patients of early-stage oral cancers, the primary lesion is commonly addressed transorally, necessitating a separate incision on the neck for SND. Transverse cervical approach hidden in the natural creases of the neck is described by Langer and is widely accepted with the purpose of reducing aesthetic impairment (6,7,11). The lateral submandibular approach to endoscopic SND (incision length ranging from 3.0-5.5 cm) is reported in patients of early-stage head and neck SCC (OSCC included) and lateral cervical metastases of thyroid papillary carcinoma (2,3,12). ...
Background:
This study aims to propose a lateral cervical stria approach for selective neck dissection (SND) in patients of early-stage oral malignancies.
Material and methods:
The lateral cervical stria approach was used in 11 patients undergoing SND between December 2020 and March 2022. The surgical incision was located in submandibular cervical stria, with a length of 5.0 cm. The ipsilateral SND was performed according to the pathological type, covering part or all of I-V levels. Perioperative variables including operation time, blood loss, drainage volume, number of lymph node as well as complications were assessed. The score of appearance using the University of Washington Quality of Life Questionnaire (UW-QOL) was recorded 6-month postoperatively.
Results:
Direct closure of primary lesion was performed in ten patients and a forearm free flap reconstruction was used in one patient. No wound breakdown or infection was found in all cases. The mean operative time of SND was 157.63±27.39 min. The volume of intraoperative blood loss and postoperative drainage was 120.45±36.77 ml and 314.09±98.82 ml, respectively. The mean number of retrieved lymph nodes was 17.89±6.03 (ranging from 12 to 31). Postoperative complications included mild static lower lip deviation (n=1), shoulder discomfort (n=1) and mild auricular paraesthesia (n=1). The mean score of appearance was 86.36±13.06, with 100 scores in 5 patients and 75 scores in 6 patients.
Conclusions:
The lateral cervical stria approach for SND in early-stage oral malignancies is reliable, achieving to satisfactory functional and aesthetic outcomes.
