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Single transverse extended incision for radical neck dissection.
José Francisco Sales Chagas1, Maria Beatriz Nogueira Pascoal1, José Luís Braga Aquino1
1- Department of Head and Neck Surgery, Hospital of the Pontifical Catholic University of Campinas, Campinas, SP, Brazil.
Revista Do Colegio Brasileiro De Cirurgioes
|September 30, 2016
Summary
This study demonstrates that a single transverse extended cervical incision is effective for radical neck dissection in upper aero-digestive tract cancers. The technique provides adequate exposure and excellent aesthetic results without compromising surgical outcomes.
Area of Science:
- Surgical Oncology
- Head and Neck Surgery
- Otolaryngology
Background:
- Radical neck dissection is a critical procedure for managing head and neck cancers.
- Traditional surgical approaches may involve multiple incisions or extensive dissections.
- Optimizing surgical technique is essential for improving patient outcomes and cosmesis.
Purpose of the Study:
- To evaluate the efficacy of a single transverse extended cervical incision for radical neck dissection.
- To assess the adequacy of exposure, surgical time, and oncologic safety of this approach.
- To determine the aesthetic and functional results of the single extended incision technique.
Main Methods:
- A prospective study involving 18 patients with malignant tumors of the upper aero-digestive tract.
- Performed 29 neck dissections (8 bilateral, 10 unilateral) using a single transverse extended cervical incision.
- The incision was strategically placed in the mid-neck, aligned with skinfolds, extending behind the trapezius muscle.
Main Results:
- The single extended incision provided adequate exposure of cervical structures for radical and selective neck dissections.
- No compromise in surgical time or resection of lymph nodes was observed.
- Complications included one case each of myocutaneous flap necrosis, lymphatic fistula, tracheostomy dehiscence, cervical abscess, salivary fistula, and suture dehiscence.
Conclusions:
- The single transverse extended cervical incision is an effective technique for radical neck dissection.
- It offers adequate exposure, maintains surgical efficiency, and achieves excellent aesthetic and functional results.
- This approach can be readily combined with other surgical techniques for primary tumor resection.
