Medial-to-Lateral Approach in Neck Dissection.

Honda, Keigo; Omori, Koichi; Suehiro, Atsushi; Kishimoto, Yo; Kojima, Tsuyoshi; Hamaguchi, Kiyomi; Kawai, Yoshitaka; Fujimura, Shintaro et al. · Head Neck · 2025

other · Level V

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Abstract

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.

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