METHOD OF SURGICAL ACCESS TO STRUCTURES OF LATERAL DEPARTMENT OF NECK Russian patent published in 2017 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: perform a linear incision of the skin in the nasal part of the occipital region from the projection of the condylar fossa of the occipital bone down and proximal to the midline of the neck along the hair growth line. Dissect the subcutaneous fat, the superficial fascia, the surface plate of the fascia and the fibers of the trapezius muscle. The lateral portion of the fibers of the ascending part of the trapezius muscle is withdrawn upwards. A small occipital nerve is excreted, prepared and taken to the upper corner of the wound. In the upper parts of the scapula-clavicular triangle, the necks produce dissection over the deep plate of the fascia. Under the control of a rigid endoscope, a tunnel is formed parallel to the line of projection of the edge of the body of the lower jaw. They reveal the fascial vagina of the sternocleidomastoid muscle. Perform a fascial submuscular dissection and lift up the sternocleidomastoid muscle. Taking down the internal jugular vein. Then continue to access the lateral cyst, or the lower pole of the parotid salivary gland, or submandibular salivary gland.

EFFECT: reduction of traumatism, reduction of risk of damage to the marginal branch of the facial nerve, large ear nerve, reduction in the risk of hematoma formation, gray.

3 cl