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November 1966

Neck Incision in Block DissectionExperiences With the Long Anterior Cervical Flap Incision

Arch Otolaryngol. 1966;84(5):554-557. doi:10.1001/archotol.1966.00760030556017

A VARIETY of neck incisions have been proposed for block dissection of the neck. This reflects the unsuitability of any single neck incision for all situations. The standard double or single "Y" incision, which gives excellent exposure, has the drawback,

MARTIN-1951 SCHOBINGER-1957 GRANDON-1960 LATYSHEVSKY-1960 MAC FEE-1960 Fig 1.—Neck incisions. CONLEY-1966 particularly in individuals who have had irradiation, of necrosis and skin loss in the critical area of the carotid bifurcation. Most often the area of necrosis is associated with the posterior skin flap in this incision.

Many interesting variations in incisions to avoid necrosis in this area have been proposed. The incision utilized in this experience affords good protection from necrosis in the area of the carotid bifurcation and there has been no instance of carotid exposure in 50 consecutive cases. The incision begins in

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