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Neck dissection through a facelift incision.

Thuy-Anh N Melvin1, Steven J Eliades, Patrick K Ha

  • 1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.

The Laryngoscope
|October 2, 2012
PubMed
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Facelift neck dissection (FLND) is a feasible and safe surgical approach for removing neck lymph nodes. This technique offers comparable outcomes to traditional methods with improved cosmetic results.

Area of Science:

  • Surgical Oncology
  • Head and Neck Surgery
  • Plastic Surgery

Background:

  • Traditional neck dissection techniques often result in significant scarring.
  • Exploring minimally invasive approaches for neck dissection is crucial for improving patient outcomes and aesthetics.

Observation:

  • A prospective case series evaluated the feasibility and safety of facelift neck dissection (FLND).
  • The study involved cadavers and live subjects, assessing dissections with and without endoscopic assistance.
  • Key procedural details, lymph node pathology, and short-term outcomes were meticulously reviewed in live FLND cases.

Findings:

  • Facelift neck dissection (FLND) was successfully performed on cadavers and live subjects, encompassing both selective and comprehensive dissections.
  • All neck levels were accessible, though levels I and IV required additional retraction.

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  • Endoscopic assistance was occasionally needed for optimal visualization, and short-term complication rates and lymph node yield were comparable to traditional methods.

    • Implications:

    • Facelift neck dissection (FLND) presents a viable alternative to conventional neck incisions, potentially offering superior cosmetic results.
    • This approach does not necessitate robotic assistance and may require endoscopic aid selectively.
    • Further research is warranted to fully establish the efficacy and specific indications for FLND in oncologic and reconstructive surgery.