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Published on: July 5, 2021
[Surgical planes of the head and neck]
E Samaniego1, C Prada, M Á Rodríguez-Prieto
1Servicio de Dermatología, Complejo Asistencial de León, España. eliasamaniego@yahoo.es
Abstract:
The surgical plane is a plane of dissection that can be used to excise a tumor while preserving most of the neurovascular structures. The majority of skin tumors are situated on the head and neck, and dermatologic surgeons should therefore have detailed knowledge of the surgical anatomy of this region. Fear of damaging important structures may result in insufficient efficacy of the surgical treatment, with consequent risk of persistence or recurrence of the tumor. Knowledge of the superficial musculoaponeurotic system and its relationship to key neurovascular structures enables the operation to be planned and will help us to locate the appropriate plane and minimize postoperative complications. The objective of this article is to review the key anatomical features defining suitable planes of dissection in the head and neck, the use of which will ensure survival of flaps and grafts.
Insights
Understanding surgical planes in head and neck anatomy is crucial for dermatologic surgeons. This knowledge ensures safe tumor excision, preserving neurovascular structures and minimizing recurrence risks.
Area of Science:
- Surgical Anatomy
- Dermatologic Surgery
- Head and Neck Oncology
Context:
- Most skin tumors occur on the head and neck.
- Dermatologic surgeons require detailed anatomical knowledge of this region.
- Fear of damaging neurovascular structures can lead to suboptimal tumor removal.
Purpose:
- To review key anatomical features defining surgical planes in the head and neck.
- To guide surgeons in selecting appropriate dissection planes.
- To ensure the survival of flaps and grafts during tumor excision.
Summary:
- Surgical planes facilitate tumor excision while preserving critical neurovascular structures.
- Understanding the superficial musculoaponeurotic system (SMAS) and its relation to neurovascular elements is vital.
- Proper plane identification aids in surgical planning, minimizing complications and improving outcomes.
Impact:
- Enhances surgical efficacy in head and neck tumor removal.
- Reduces the risk of tumor persistence or recurrence.
- Minimizes postoperative complications and improves flap/graft viability.
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