Page 28 - Head and neck surgery

There are many incisions described for performing

radical neck dissection and modified radical neck

dissection (right), each with its pros and cons with

regards to exposure, and aesthetic and functional

considerations.

In our center, we adopt the McFee incision. The lack

of a vertical incision is not only aesthetically pleasing,

but more importantly, prevents exposure of

underlying carotid artery in case of wound infection

and/or wound dehiscence. This is particularly valid in

those who have had their SCM removed, whereby

the carotid artery lies directly beneath the skin. Any

wound infection or dehiscence can lead to blow-out

bleeding, stroke and mortality.

OBrien M. (2009) Head and Neck. In: Plastic and Hand
Surgery in Clinical Practice. Springer, London.