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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 Short Neck: Challenges and Techniques.

Luiz A Auersvald1, André Auersvald1

  • 1Auersvald Cirurgia Plástica, Curitiba, Paraná, Brazil.

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|December 23, 2022
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Summary
This summary is machine-generated.

Facial plastic surgeons face challenges creating a pleasant neck contour in short-neck patients. This study presents innovative surgical techniques for subplatysmal volume reduction, platysma tightening, and chin augmentation to improve neck aesthetics.

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Area of Science:

  • Plastic Surgery
  • Facial Anatomy
  • Surgical Innovation

Background:

  • Achieving an aesthetically pleasing cervical contour in patients with short necks presents a significant challenge for facial plastic surgeons.
  • Standard surgical approaches often require modification to address the unique anatomical considerations of short-neck patients.

Purpose of the Study:

  • To present an objective method for defining short-neck patients.
  • To introduce innovative surgical strategies for enhancing the cervical contour and improving the overall aesthetic outcome in short-neck patients.

Main Methods:

  • Revision of applied surgical anatomy of the neck.
  • Presentation of novel techniques including sternohyoid muscle plicature, interplatysmal/subplatysmal fat flap, subperiosteal en bloc fat grafting for chin augmentation.
  • Description of a modified deep plane facelift approach with continuous suture of the middle third fasciocutaneous flap, combined lateral platysma tensioning, sternocleidomastoid rejuvenation, and use of a hemostatic net for skin accommodation.

Main Results:

  • The study details an objective definition for short-neck patients.
  • Innovative surgical techniques are presented for subplatysmal volume reduction, platysma tightening, and chin augmentation.
  • A modified deep plane facelift and specific techniques for skin accommodation are described to address the challenges of short necks.

Conclusions:

  • The presented objective method aids in identifying short-neck patients.
  • The innovative surgical strategies offer effective solutions for improving cervical contour and aesthetic outcomes in this patient population.
  • Combined surgical approaches, including novel fat grafting and flap techniques, are crucial for addressing the complexities of short-neck rejuvenation.