Surgical approaches in neck dissection: Comparing functional, oncologic and aesthetic aspects of transverse cervicotomy to Paul André’s approach
| Autor: | D. Guillier, K. Rem, L.-A. See, A. Al Hindi, S. Mazouz Dorval, H. Chatel, Marc Revol, Vivien Moris |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Functional impairment Esthetics medicine.medical_treatment 030230 surgery 03 medical and health sciences 0302 clinical medicine Patient satisfaction Cervical approach medicine Humans 030223 otorhinolaryngology Aged Retrospective Studies Aged 80 and over Surgical approach business.industry Neck dissection Retrospective cohort study Middle Aged Transverse incision Surgery Treatment Outcome Head and Neck Neoplasms Neck Dissection Operative time Female business Neck |
| Zdroj: | Annales de Chirurgie Plastique Esthétique. 63:140-147 |
| ISSN: | 0294-1260 |
| Popis: | Summary Background Surgical approaches in neck dissection: comparing functional, oncologic and aesthetic aspects of transverse cervicotomy to Paul Andre’s approach. Methods This single-center retrospective study compares a new transverse incision for cervicotomy to the classical approach described by Paul Andre in neck dissections. The evaluation criteria were: number of lymph nodes analyzed, operative time, complications, patient satisfaction and aesthetic aspects of the scar. Results A total of 34 patients were included in this study, from September 2009 until January 2015. The number of lymph nodes analyzed is not affected by this new approach compared to the classical one (P = 0.9). The scar has a significantly more discreet appearance in the transverse cervicotomy group (P = 0.023) likewise; patient satisfaction is higher in this group (P = 0.006). Conclusions Aesthetic and functional impairment can be reduced using this new transverse cervical approach hidden in the natural creases of the neck described by Langer. |
| Databáze: | OpenAIRE |
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