Neck dissection through a facelift incision

Thuy Anh N Melvin, Steven J. Eliades, Patrick K. Ha, Carole Fakhry, John M. Saunders, Joseph A. Califano, Ray Gervacio F. Blanco

Research output: Contribution to journalArticle

Abstract

Objectives/Hypothesis: To determine the feasibility and safety of neck dissection through a facelift incision. Study Design: Prospective case series. Methods: Cadavers and live subjects underwent neck dissection using a facelift incision with and without endoscopic assistance. In the live facelift neck dissection (FLND), the preoperative surgical indications, staging, adjuvant therapy, intraoperative technical procedure, pathology reports on lymph nodes, and short-term outcomes were reviewed. Results: FLND was successfully performed in four cadavers and four live subjects, including selective (less than five neck levels removed) and comprehensive (levels I-V removed) neck dissections. All levels were accessible through this approach, with additional retraction required for levels I and IV. Endoscopic assistance was required in one neck dissection for adequate visualization. Short-term complications and number of excised lymph nodes were comparable to those from traditional neck dissection approaches. Conclusions: Open neck dissection through a facelift incision is feasible and offers an alternate approach to traditional incisions. This can be performed without requiring robotic assistance and with endoscopic assistance only in certain cases. Endoscopic assistance can offer enhanced visualization of the surgical field and complement open direct approaches in neck dissection. Although FLND offers improved cosmetic outcomes when compared to those of traditional neck incisions, further study is required to determine its efficacy and indications.

Original languageEnglish (US)
Pages (from-to)2700-2706
Number of pages7
JournalLaryngoscope
Volume122
Issue number12
DOIs
StatePublished - Dec 2012

Fingerprint

Rhytidoplasty
Neck Dissection
Cadaver
Neck
Lymph Nodes
Robotics
Cosmetics
Prospective Studies
Pathology

Keywords

  • approach
  • comprehensive
  • cosmetic
  • Facelift
  • minimally invasive
  • modified
  • neck dissection
  • radical
  • rhytidectomy
  • selective

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Melvin, T. A. N., Eliades, S. J., Ha, P. K., Fakhry, C., Saunders, J. M., Califano, J. A., & Blanco, R. G. F. (2012). Neck dissection through a facelift incision. Laryngoscope, 122(12), 2700-2706. https://doi.org/10.1002/lary.23386

Neck dissection through a facelift incision. / Melvin, Thuy Anh N; Eliades, Steven J.; Ha, Patrick K.; Fakhry, Carole; Saunders, John M.; Califano, Joseph A.; Blanco, Ray Gervacio F.

In: Laryngoscope, Vol. 122, No. 12, 12.2012, p. 2700-2706.

Research output: Contribution to journalArticle

Melvin, TAN, Eliades, SJ, Ha, PK, Fakhry, C, Saunders, JM, Califano, JA & Blanco, RGF 2012, 'Neck dissection through a facelift incision', Laryngoscope, vol. 122, no. 12, pp. 2700-2706. https://doi.org/10.1002/lary.23386
Melvin TAN, Eliades SJ, Ha PK, Fakhry C, Saunders JM, Califano JA et al. Neck dissection through a facelift incision. Laryngoscope. 2012 Dec;122(12):2700-2706. https://doi.org/10.1002/lary.23386
Melvin, Thuy Anh N ; Eliades, Steven J. ; Ha, Patrick K. ; Fakhry, Carole ; Saunders, John M. ; Califano, Joseph A. ; Blanco, Ray Gervacio F. / Neck dissection through a facelift incision. In: Laryngoscope. 2012 ; Vol. 122, No. 12. pp. 2700-2706.
@article{7ef2555c0ace482298c917c544658b4a,
title = "Neck dissection through a facelift incision",
abstract = "Objectives/Hypothesis: To determine the feasibility and safety of neck dissection through a facelift incision. Study Design: Prospective case series. Methods: Cadavers and live subjects underwent neck dissection using a facelift incision with and without endoscopic assistance. In the live facelift neck dissection (FLND), the preoperative surgical indications, staging, adjuvant therapy, intraoperative technical procedure, pathology reports on lymph nodes, and short-term outcomes were reviewed. Results: FLND was successfully performed in four cadavers and four live subjects, including selective (less than five neck levels removed) and comprehensive (levels I-V removed) neck dissections. All levels were accessible through this approach, with additional retraction required for levels I and IV. Endoscopic assistance was required in one neck dissection for adequate visualization. Short-term complications and number of excised lymph nodes were comparable to those from traditional neck dissection approaches. Conclusions: Open neck dissection through a facelift incision is feasible and offers an alternate approach to traditional incisions. This can be performed without requiring robotic assistance and with endoscopic assistance only in certain cases. Endoscopic assistance can offer enhanced visualization of the surgical field and complement open direct approaches in neck dissection. Although FLND offers improved cosmetic outcomes when compared to those of traditional neck incisions, further study is required to determine its efficacy and indications.",
keywords = "approach, comprehensive, cosmetic, Facelift, minimally invasive, modified, neck dissection, radical, rhytidectomy, selective",
author = "Melvin, {Thuy Anh N} and Eliades, {Steven J.} and Ha, {Patrick K.} and Carole Fakhry and Saunders, {John M.} and Califano, {Joseph A.} and Blanco, {Ray Gervacio F.}",
year = "2012",
month = "12",
doi = "10.1002/lary.23386",
language = "English (US)",
volume = "122",
pages = "2700--2706",
journal = "Laryngoscope",
issn = "0023-852X",
publisher = "John Wiley and Sons Inc.",
number = "12",

}

TY - JOUR

T1 - Neck dissection through a facelift incision

AU - Melvin, Thuy Anh N

AU - Eliades, Steven J.

AU - Ha, Patrick K.

AU - Fakhry, Carole

AU - Saunders, John M.

AU - Califano, Joseph A.

AU - Blanco, Ray Gervacio F.

PY - 2012/12

Y1 - 2012/12

N2 - Objectives/Hypothesis: To determine the feasibility and safety of neck dissection through a facelift incision. Study Design: Prospective case series. Methods: Cadavers and live subjects underwent neck dissection using a facelift incision with and without endoscopic assistance. In the live facelift neck dissection (FLND), the preoperative surgical indications, staging, adjuvant therapy, intraoperative technical procedure, pathology reports on lymph nodes, and short-term outcomes were reviewed. Results: FLND was successfully performed in four cadavers and four live subjects, including selective (less than five neck levels removed) and comprehensive (levels I-V removed) neck dissections. All levels were accessible through this approach, with additional retraction required for levels I and IV. Endoscopic assistance was required in one neck dissection for adequate visualization. Short-term complications and number of excised lymph nodes were comparable to those from traditional neck dissection approaches. Conclusions: Open neck dissection through a facelift incision is feasible and offers an alternate approach to traditional incisions. This can be performed without requiring robotic assistance and with endoscopic assistance only in certain cases. Endoscopic assistance can offer enhanced visualization of the surgical field and complement open direct approaches in neck dissection. Although FLND offers improved cosmetic outcomes when compared to those of traditional neck incisions, further study is required to determine its efficacy and indications.

AB - Objectives/Hypothesis: To determine the feasibility and safety of neck dissection through a facelift incision. Study Design: Prospective case series. Methods: Cadavers and live subjects underwent neck dissection using a facelift incision with and without endoscopic assistance. In the live facelift neck dissection (FLND), the preoperative surgical indications, staging, adjuvant therapy, intraoperative technical procedure, pathology reports on lymph nodes, and short-term outcomes were reviewed. Results: FLND was successfully performed in four cadavers and four live subjects, including selective (less than five neck levels removed) and comprehensive (levels I-V removed) neck dissections. All levels were accessible through this approach, with additional retraction required for levels I and IV. Endoscopic assistance was required in one neck dissection for adequate visualization. Short-term complications and number of excised lymph nodes were comparable to those from traditional neck dissection approaches. Conclusions: Open neck dissection through a facelift incision is feasible and offers an alternate approach to traditional incisions. This can be performed without requiring robotic assistance and with endoscopic assistance only in certain cases. Endoscopic assistance can offer enhanced visualization of the surgical field and complement open direct approaches in neck dissection. Although FLND offers improved cosmetic outcomes when compared to those of traditional neck incisions, further study is required to determine its efficacy and indications.

KW - approach

KW - comprehensive

KW - cosmetic

KW - Facelift

KW - minimally invasive

KW - modified

KW - neck dissection

KW - radical

KW - rhytidectomy

KW - selective

UR - http://www.scopus.com/inward/record.url?scp=84871335843&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871335843&partnerID=8YFLogxK

U2 - 10.1002/lary.23386

DO - 10.1002/lary.23386

M3 - Article

C2 - 23023877

AN - SCOPUS:84871335843

VL - 122

SP - 2700

EP - 2706

JO - Laryngoscope

JF - Laryngoscope

SN - 0023-852X

IS - 12

ER -