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Vessel-sparing Excision and Primary Anastomosis
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Straightforward Method for Coverage of Major Vessels After Modified Radical Neck Dissection
Raúl González-García1, Carlos Moreno-García2, Manuel Moreno-Sánchez3
1Consultant Surgeon, Department of Oral and Maxillofacial Surgery, University Hospital Infanta Cristina, Badajoz, Spain; Honorary Professor, Department of Surgery, University of Extremadura, Badajoz, Spain.
Summary
A novel surgical technique uses platysma coli and sternocleidomastoid muscle flaps to cover exposed neck arteries and veins after dissection. This method offers an alternative for malnourished cancer patients undergoing adjuvant radiotherapy.
Area of Science:
- Surgical Oncology
- Head and Neck Surgery
- Plastic and Reconstructive Surgery
Background:
- Neck dissection for cancer can expose critical vascular structures like the internal jugular vein and carotid artery.
- Effective coverage of these vessels is crucial for preventing complications and facilitating adjuvant treatment.
- Existing methods, such as pectoralis major myocutaneous flaps, may not be ideal for all patients, especially those who are malnourished.
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