The use of a double horizontal incision is preferred for use in radical neck dissections for patients who have received irradiation to the neck. Three-point junctions should be avoided in the irradiated neck and a vertical limb dispensed with if possible. The adoption of the double horizontal incision in post-irradiation cases has almost doubled the primary healing rate.
Stell PM, Brown GA. Horizontal Incisions for Radical Neck Dissections. Arch Otolaryngol. 1970;91(5):485–487. doi:10.1001/archotol.1970.00770040679019
Otolaryngology in JAMA: Read the Latest
Customize your JAMA Network experience by selecting one or more topics from the list below.