FIELD: medicine.
SUBSTANCE: surgical access in case of cervical lymph node dissection is realised in form of two cuts. First cut is made in prootic area in tragus base to earlobe, moving on mandibular angle with continuation in chin and submental area. Second cut is started on mastoid process with further movement on posterior contour of sternocleidomastoid muscle with transition on its anterior surface in middle third and to sternum. Triangular flap, which is withdrawn to middle line of neck, is formed.
EFFECT: method makes it possible to improve functional and aesthetic results of operations on lymphatic system of neck, monitor facial nerve, simultaneously perform operations on larynx and pharynx due to making two cuts, performing lines of cuts in zones of natural skin folds in accordance with force lines of neck and preservation of subcutaneous muscle.
2 dwg, 2 ex
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Authors
Dates
2015-12-10—Published
2014-04-01—Filed