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Updated: Feb 10, 2026

The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
[Surgical approaches in urgent and elective surgery of the neck]
A F Romanchishen1, A V Gostimsky2, V B Mosyagin3
1Saint Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation, Chair of Hospital Surgery with the course of Traumatology and Military Surgery.
Aim:
To define surgical approaches which provide surgical adequacy, preservation of function and aesthetic results.
Material And Methods:
Analysis included 191 emergency interventions for various neck injuries and more than 35.000 elective operations for thyroid diseases.
Results:
The study showed that collar-like incisions have the best aesthetic effect on the neck; an approach along anterior margin of the sternocleidomastoid muscle is advisable for emergency assessment of cervical organs; W.F. MacFee access is optimal for lateral cervical lymphadenectomy in asthenic patients while serpentine incision - in hypersthenic ones.
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