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Surgical planes of the head and neck
Journal article   Open access   Peer reviewed

Surgical planes of the head and neck

E Samaniego, C Prada and M Á Rodríguez-Prieto
Actas dermo-sifiliográficas (English ed.), Vol.102(3), pp.167-174
04/2011
DOI: 10.1016/S1578-2190(11)70781-8
PMID: 21353190
url
https://doi.org/10.1016/S1578-2190(11)70781-8View
Published (Version of record) Open Access

Abstract

The surgical plane is a plane of dissection that can be used to excise a tumor while preserving most of the neurovascular structures. The majority of skin tumors are situated on the head and neck, and dermatologic surgeons should therefore have detailed knowledge of the surgical anatomy of this region. Fear of damaging important structures may result in insufficient efficacy of the surgical treatment, with consequent risk of persistence or recurrence of the tumor. Knowledge of the superficial musculoaponeurotic system and its relationship to key neurovascular structures enables the operation to be planned and will help us to locate the appropriate plane and minimize postoperative complications. The objective of this article is to review the key anatomical features defining suitable planes of dissection in the head and neck, the use of which will ensure survival of flaps and grafts.
Neck - anatomy & histology Surgical Flaps Neck Muscles - anatomy & histology Neck Muscles - innervation Humans Intraoperative Complications - prevention & control Head - anatomy & histology Facial Muscles - blood supply Ligaments - anatomy & histology Neck - surgery Neck Muscles - blood supply Facial Muscles - innervation Dissection Skin Neoplasms - surgery Head and Neck Neoplasms - surgery Facial Muscles - anatomy & histology Head - surgery

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