Medial-to-Lateral Approach in Neck Dissection

被引：0

作者：

Honda, Keigo ^{[1
]}

Omori, Koichi ^{[2
]}

Suehiro, Atsushi ^{[2
]}

Kishimoto, Yo ^{[2
]}

Kojima, Tsuyoshi ^{[2
]}

Hamaguchi, Kiyomi ^{[2
]}

Kawai, Yoshitaka ^{[2
]}

Fujimura, Shintaro ^{[2
]}

Iwanaga, Ken ^{[2
]}

Kitada, Yuji ^{[2
]}

机构：

[1] Kyoto Univ, Grad Sch Med, Dept Head & Neck Oncol & Innovat Treatment, Kyoto, Japan

[2] Kyoto Univ, Grad Sch Med, Dept Otolaryngol Head & Neck Surg, Kyoto, Japan

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2025年 / 47卷 / 04期

关键词：

anatomy; medial-to-lateral approach; middle layer of deep cervical fascia; neck dissection; paddle concept;

D O I：

10.1002/hed.28105

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

This video introduces a medial-to-lateral neck dissection technique in the management of head and neck cancer, emphasizing the importance of the middle layer of the deep cervical fascia as a key surgical landmark. The technique involves systematic dissection from superficial lymphatic tissue (Paddle 1) to deeper structures (Paddles 2 and 3), offering better visualization and preservation of functionally important structures, such as the cervical nerves. This approach enhances surgical precision, minimizes nerve damage, and optimizes lymphatic tissue removal.

引用

页码：1306 / 1310

页数：5

共 5 条

[1] Martin H., Del Valle B., Ehrlich H., Cahan W.G., Neck Dissection, Cancer, 4, 3, pp. 441-499, (1951)
[2] Gavilan J., Herranz J., Modified Neck Dissection, Operative Techniques in General Surgery, 6, 2, pp. 83-94, (2004)
[3] Honda K., Asato R., Tsuji J., Et al., Oncologic Safety of Cervical Nerve Preservation in Neck Dissection for Head and Neck Cancer, Head & Neck, 39, 9, pp. 1751-1755, (2017)
[4] Honda K., Asato R., Tsuji J., Et al., Sensory Preservation in Neck Dissection: Outcomes of a Sub-Sternocleidomastoid Approach, Acta Oto-Laryngologica, 138, 8, pp. 763-767, (2018)
[5] Dilber M., Kasapoglu F., Erisen L., Basut O., Tezel I., The Relationship Between Shoulder Pain and Damage to the Cervical Plexus Following Neck Dissection, European Archives of Oto-Rhino-Laryngology, 264, 11, pp. 1333-1338, (2007)

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