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Related Experiment Videos

Extended single transverse neck incision for composite resections: does it work?

D Myssiorek1, G D Becker

  • 1Department of Otolaryngology and Communicative Disorders, Long Island Jewish Medical Center, New Hyde Park, New York 11042.

Journal of Surgical Oncology
|October 1, 1991
PubMed
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Single transverse neck incisions (STNI) offer a safe and effective approach for head and neck cancer surgery. This method showed no increased risk of complications or cancer recurrence compared to traditional incisions.

Area of Science:

  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Neck dissection is a critical surgical procedure for head and neck cancers.
  • Various neck incisions exist, but none are universally ideal.
  • Single transverse neck incisions (STNI) are less common than trifurcate incisions, with concerns about surgical field exposure.

Purpose of the Study:

  • To evaluate the safety and efficacy of STNI for complete neck dissections in head and neck cancer patients.
  • To compare outcomes of STNI with standard trifurcate incisions regarding complications and disease recurrence.

Main Methods:

  • A retrospective analysis of 109 patients with squamous cell carcinoma of the head and neck who underwent complete neck dissection using STNI.
  • Outcomes assessed included skin necrosis, carotid artery hemorrhage, fistulae, wound dehiscence, neck recurrence, and cosmetic results.

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Main Results:

  • No cases of skin necrosis or carotid artery hemorrhage were observed.
  • Fistulae occurred in 14% of patients, and wound dehiscence in 12%.
  • No recurrence in the operated neck was identified, and cosmetic outcomes were good.

Conclusions:

  • STNI is a viable surgical approach for neck dissection in head and neck cancer.
  • STNI does not lead to a higher incidence of postoperative complications or recurrent disease compared to trifurcate incisions.
  • The STNI provides satisfactory cosmetic results and adequate surgical exposure.