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April 1960

Laryngectomy: An Improved Incision

Author Affiliations

New York
Director, Neoplastic Surgery, Columbus Hospital, New York, and Associate Surgeon, Queens Hospital Center (Dr. Butler); Director, Otolaryngology, Queens Hospital Center (Dr. Cirillo), and Assistant Attending, Queens Hospital Center (Dr. Henken).

AMA Arch Otolaryngol. 1960;71(4):619-622. doi:10.1001/archotol.1960.03770040019003

A new skin incision for laryngectomy, used to some degree in Holland and England, has been employed and improved upon by us. One of us (S. H.) described the new procedure when he returned from London, where he observed it in a modified form at the Institute of Laryngology and Otology, under the direction of Prof. F. C. Ormerod. We have had such success with the new procedure that we have accepted it as the incision of choice for laryngectomy.

At present, the midline incision for laryngectomy enjoys wide usage. This is the longitudinal incision in the midline of the neck with or without an upper transverse component to form the T-incision.

The new incision outlines the shape of a thick apron of skin in the anterior neck. We have improved the initial incision by the addition of a lower convexity of a circular area of skin maintained in continuity

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