Single supraclavicular transverse incision for radical neck dissections
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Background & Aims: To describe unilateral and bilateral modified radical neck dissections withaccess to the thyroid gland and all neck lymph node levels through a single supraclavicular trans-verse incision.Methods: Ten patients with thyroid or lip carcinomas were submitted to unilateral or bilateral neckdissection through a transverse supraclavicular neck incision. All anterior and lateral neck lymphnodes associated with surrounding fibrofatty tissue were dissected and removed, preserving bothsternocleidomastoid muscles and internal jugular veins. Patients with thyroid carcinoma were alsosubmitted to a total thyroidectomy during the same procedure.Results: This surgery was feasible in all patients, preserving oncological principles with no adverseevent. Conclusions: A single supraclavicular transverse incision allows adequate access to all levels of theneck lymph nodes, minimises the risk of tissue breakdown and scar disorder, with good cosmeticresults. This incision is indicated for radical lymphadenectomy and may be combined with otherneck surgeries.
Abstract
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Esvaziamento Cervical, Medicina
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CIRURGIA, CICATRIZAÇÃO, CABEÇA E PESCOÇO, ESVAZIAMENTO CERVICAL, VIA DE ACESSO
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https://pubmed.ncbi.nlm.nih.gov/30830851/