Guillier D, Moris V, Al Hindi A A, Rem K, Chatel H, See L-A, Revol M, Mazouz Dorval S
Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France; Plastic and Reconstructive department, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France.
Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France; Plastic and Reconstructive department, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France.
Ann Chir Plast Esthet. 2018 Apr;63(2):140-147. doi: 10.1016/j.anplas.2017.07.017. Epub 2017 Aug 21.
Surgical approaches in neck dissection: comparing functional, oncologic and aesthetic aspects of transverse cervicotomy to Paul André's approach.
This single-center retrospective study compares a new transverse incision for cervicotomy to the classical approach described by Paul André in neck dissections. The evaluation criteria were: number of lymph nodes analyzed, operative time, complications, patient satisfaction and aesthetic aspects of the scar.
A total of 34 patients were included in this study, from September 2009 until January 2015. The number of lymph nodes analyzed is not affected by this new approach compared to the classical one (P=0.9). The scar has a significantly more discreet appearance in the transverse cervicotomy group (P=0.023) likewise; patient satisfaction is higher in this group (P=0.006).
Aesthetic and functional impairment can be reduced using this new transverse cervical approach hidden in the natural creases of the neck described by Langer.
颈部清扫术的手术入路：比较经颈横切口与保罗·安德烈手术入路在功能、肿瘤学及美学方面的差异。
本单中心回顾性研究将一种新的经颈横切口与保罗·安德烈所描述的颈部清扫术经典入路进行比较。评估标准包括：分析的淋巴结数量、手术时间、并发症、患者满意度以及瘢痕的美学效果。
本研究共纳入34例患者，时间跨度从2009年9月至2015年1月。与经典入路相比，新入路对分析的淋巴结数量无影响（P = 0.9）。同样，经颈横切口组的瘢痕外观明显更不显眼（P = 0.023）；该组患者满意度更高（P = 0.006）。
采用这种隐藏于兰格所描述的颈部自然褶皱中的新型经颈横切口，可减少美学和功能损伤。
