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Surgical approaches in neck dissection: Comparing functional, oncologic and aesthetic aspects of transverse
D Guillier1, V Moris1, A A Al Hindi2
1Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France; Plastic and Reconstructive department, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France.
Background:
Surgical approaches in neck dissection: comparing functional, oncologic and aesthetic aspects of transverse cervicotomy to Paul André's approach.
Methods:
This single-center retrospective study compares a new transverse incision for cervicotomy to the classical approach described by Paul André in neck dissections. The evaluation criteria were: number of lymph nodes analyzed, operative time, complications, patient satisfaction and aesthetic aspects of the scar.
Results:
A total of 34 patients were included in this study, from September 2009 until January 2015. The number of lymph nodes analyzed is not affected by this new approach compared to the classical one (P=0.9). The scar has a significantly more discreet appearance in the transverse cervicotomy group (P=0.023) likewise; patient satisfaction is higher in this group (P=0.006).
Conclusions:
Aesthetic and functional impairment can be reduced using this new transverse cervical approach hidden in the natural creases of the neck described by Langer.
