The vascular supply of the cervical skin with reference to incision planning d̊

Freeland, A. P.; Rogers, J. H.

doi:10.1288/00005537-197504000-00015

Cited by 25 publications

(9 citation statements)

References 8 publications

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“…The MacFee incision is probably the one that heals the best because it is a bipedicled flap respecting the normal arrangement of the blood supply of the neck (Freeland et al, 1975). The flap gives access to all primary tumour sites but there is occasional difficulty in the patient with a short neck in separating the anterior end of the incision from a tracheostomy.…”

Section: Discussionmentioning

confidence: 99%

Radical neck dissection: a 19-year experience

1989

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A series of 394 radical neck dissections performed over the 17 year period 1969–1986 is presented. The shortest period of follow-up is two years. Of the major complications reviewed, wound breakdown was associated with T stage, prior radiotherapy and incision used but not with age or N stage. Cervical recurrence was associated with N stage, prior radiotherapy and surgical incision and inversely associated with age. Wound breakdown and recurrence were lowest in parotid primary tumours. Carotid artery rupture occurred in 17 patients (4.3 per cent), was fatal in all cases and was strongly associated with wound breakdown and previous radiotheraphy. The importance of the choice of incision, clearance of the posterior belly of the digastric muscle and carotied artery protection are discussed.

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Section: Discussionmentioning

confidence: 99%

Radical neck dissection: a 19-year experience

1989

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“…Rabson et al reported that the blood supply of the neck skin anterior to the trapezius muscle descends from the facial and occipital arteries and ascends from the transverse cervical artery [ 11 ]. However, the midline of the neck skin where the incision was made is supplied from the branches of these major vessels running in a horizontal direction [ 12 ]. Due to the anatomical nature of the horizontal branching vessels, vertical incision of the anterior neck skin would comprise the cutaneous blood supply and tend to offer increased risk of development of pressure ulcer.…”

Section: Discussionmentioning

confidence: 99%

Comparison of outcomes between vertical and transverse skin incisions in percutaneous tracheostomy for critically ill patients: a retrospective cohort study

et al. 2018

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BackgroundPercutaneous tracheostomy (PT) is a common procedure in critical care medicine. No definite clinical practice guidelines recommended on the choice of the direction of skin incision, vertical or transverse for tracheostomy in critically ill patients. The objective of this retrospective study was to compare the outcomes associated with vertical and transverse skin incisions in patients undergoing PT.MethodsPatients who underwent PT between March 2011 and December 2015 in the intensive care unit (ICU) of a tertiary hospital were retrospectively included. PTs were performed by pulmonary intensivists at the ICU bedside using the single tapered dilator technique assisted by flexible bronchoscopy. The primary outcome was the incidence of tracheostomy site ulcers at 7 days after PT.ResultsOf the 458 patients who underwent PT, a vertical incision was made in 27.1% and a transverse incision was made in 72.9%. There were no tracheostomy-related mortalities, and no significant difference in the incidence of immediate postoperative complications, including bleeding, tracheal ring fracture, and subcutaneous emphysema. Thirty-five patients (7.6%) developed complications within 7 days after PT, in which tracheostomy-related pressure ulcers were the most frequent. Compared with vertical incisions, transverse incisions were associated with significantly lower incidence of complications (14.1% vs. 5.4%, P = 0.001).ConclusionsThis retrospective study showed that transverse skin incisions in PTs for critically ill patients, resulted in a significant decrease in overall complications, particularly ulcers in the tracheostomy site.

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“…These anastomoses remain intact during the neck dissection while the platysma is dissected from the skin (Ariyan, 1986). Even if the facial occipital and transverse cervical arteries are tied together, an alternative arterial supply will develop (Hetter, 1972;Freeland and Rogers, 1975). When considered from an oncological perspective in order to provide superficial lymphatic resection, the platysma can also be added to the specimen.…”

Section: Anatomymentioning

confidence: 99%

“…Despite these, one of the important drawbacks of this type of incision is that it destroys the neck's venous drainage from top to bottom. Unfortunately, this is a major cause of flap separation (Freeland and Rogers, 1975).…”

Section: Classificationmentioning

confidence: 99%

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J incision in neck dissections

et al. 1998

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Metastasis in the neck lymph system of primary tumours of the head and neck is frequently seen. In order to prevent this metastasis, neck dissection is carried out by various types of skin incisions. In this study, types of skin incision used in neck dissections were defined, and the advantages, disadvantages and results of J incisions, which have been performed on 320 radical neck dissection patients in our clinic between 1985–1996, were compared with those of other incision types.

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The vascular supply of the cervical skin with reference to incision planning d̊

Cited by 25 publications

References 8 publications

Radical neck dissection: a 19-year experience

Radical neck dissection: a 19-year experience

Comparison of outcomes between vertical and transverse skin incisions in percutaneous tracheostomy for critically ill patients: a retrospective cohort study

J incision in neck dissections

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