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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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The anterior neck muscles are the group of muscles covering the front part of the neck. These muscles are classified into three subgroups. The first one is the superficial muscles, the most visible muscles in the front of the neck. It includes the platysma and sternocleidomastoid. The second group is the suprahyoid muscles, located above the hyoid bone. This group comprises the digastric, mylohyoid, geniohyoid, and stylohyoid. Lastly, the infrahyoid muscles are found below the hyoid bone and...
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Related Experiment Video

Updated: Mar 1, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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The Difficult Neck in Facelifting.

Sudeep Roy1, Edward Buckingham1

  • 1Buckingham Center for Facial Plastic Surgery, Austin, Texas.

Facial Plastic Surgery : FPS
|June 2, 2017
PubMed
Summary

Facial rejuvenation surgery, or rhytidectomy, presents challenges with patients having specific anatomical traits. Recognizing and addressing these difficult neck features is key to successful outcomes.

Area of Science:

  • Plastic Surgery
  • Facial Anatomy

Background:

  • Facial and cervical rejuvenation procedures are increasingly popular.
  • Surgeons frequently encounter patients with anatomical characteristics complicating rhytidectomy.
  • Common challenges include obtuse cervicomental angles, underprojected chins, excess fat, platysmal bands, ptotic glands, jowls, and prejowl volume deficits.

Purpose of the Study:

  • To highlight the anatomical challenges encountered in facial and cervical rejuvenation.
  • To emphasize the importance of recognizing specific difficult neck features.
  • To underscore the critical role of applying appropriate techniques for successful rhytidectomy outcomes.

Main Methods:

  • Review of anatomical characteristics associated with challenging rhytidectomy cases.
  • Discussion of common patient presentations requiring specialized surgical approaches.

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  • Emphasis on diagnostic recognition of specific anatomical issues.

    • Main Results:

    • Patients often present with a combination of unfavorable anatomical features.
    • These features include obtuse cervicomental angle, underprojected chin, excess cervical adiposity, platysmal banding, ptotic submandibular glands, tenacious jowls, and prejowl volume deficits.
    • Successful management requires accurate identification of these issues.

    Conclusions:

    • Recognition of challenging anatomical features is crucial for rhytidectomy success.
    • The correct application of available techniques is vital for addressing difficult neck anatomy.
    • Optimizing outcomes in facial rejuvenation depends on managing these specific patient characteristics.