Modified Radical Neck Dissection
Step by step
Neck lymph nodes exposure
Mark a T-incision in the skin, start horizontally from the chin in a curved line over the neck to the mastoid process. Then the vertical starting point of the T-incision is marked, from the mandibular angle down ending mid-clavicular.
Carotid artery exposure
If a T-incision is used extra care should be taken for the carotid artery underneath the trifurcation of the incision. In case of flap necrosis or skin loss the underlying carotid artery may become exposed. This is most important if the malignancy was treated with chemoradiation.
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