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An alternate elective neck incision

M F Zide1, B N Epker

  • 1Department of Oral and Maxillofacial Surgery, John Peter Smith Hospital, Fort Worth, TX.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|October 1, 1993
PubMed
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A modified submandibular incision uses a zigzag pattern to better align with neck skin tension lines. This approach aims for improved cosmetic outcomes in neck surgeries.

Area of Science:

  • Surgical techniques
  • Plastic surgery
  • Anatomy

Background:

  • The standard submandibular incision runs parallel to the mandible's inferior border.
  • This classic approach does not align with natural neck skin tension lines.
  • Suboptimal scar placement can lead to less desirable cosmetic results.

Purpose of the Study:

  • To describe a modified submandibular incision technique.
  • To improve the aesthetic outcome of submandibular surgical approaches.
  • To enhance patient satisfaction through better scar concealment.

Main Methods:

  • A modified incision initially follows neck resting skin tension lines.
  • A zigzag pattern is incorporated in the midbody region.
  • Incision parameters include leg lengths of 1-3 cm and tip angles of 70-90 degrees.

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  • The zigzag design is adaptable to specific surgical needs.

    • Main Results:

    • The modified incision offers a more aesthetically pleasing result compared to the classic approach.
    • Subjective assessment indicates improved cosmetic outcomes.
    • The zigzag design facilitates better scar camouflage.

    Conclusions:

    • The modified zigzag submandibular incision provides superior aesthetic results.
    • This technique represents an improvement over the traditional parallel incision.
    • Adherence to skin tension lines enhances surgical scar appearance.