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A modification of the MacFee incisions for neck dissection
1Head and Neck Unit, Royal Marsden Hospital, London.
The Journal of Laryngology and Otology
|December 1, 1988
Summary
This study presents a modified MacFee incision for cervical lymph node dissection after radiotherapy. The curved incision technique improves skin flap healing, surgical access, and aesthetic outcomes for cancer patients.
Area of Science:
- Surgical Oncology
- Head and Neck Surgery
Background:
- Cervical lymph node dissection after radiotherapy presents challenges for skin flap healing, surgical access, and aesthetics.
- The standard MacFee incision is often used but may have limitations.
Purpose of the Study:
- To describe a modified MacFee incision technique for cervical lymph node dissection.
- To evaluate its effectiveness in ensuring good skin flap healing, surgical access, and aesthetic results.
Main Methods:
- Detailed description of a modified MacFee incision using curved modifications of horizontal incision lines.
- Comparison with other surgical approaches for cervical lymph node dissection.
Main Results:
- The modified technique creates a waisted skin bridge, enhancing mobility and improving access to deep structures.
- The approach adheres to principles of linear, join-free incisions, facilitating regular clinical use.
Conclusions:
- The modified MacFee incision offers a practical and effective solution for cervical lymph node dissection post-radiotherapy.
- This technique balances functional requirements with aesthetic considerations for improved patient outcomes.