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Guillier D, Moris V, Al Hindi AA, Rem K, Chatel H, See LA, Revol M, Mazouz Dorval S. Surgical approaches in neck dissection: Comparing functional, oncologic and aesthetic aspects of transverse cervicotomy to Paul André's approach. ANN CHIR PLAST ESTH 2017; 63:140-147. [PMID: 28838700 DOI: 10.1016/j.anplas.2017.07.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Accepted: 07/24/2017] [Indexed: 01/29/2023]
Abstract
BACKGROUND Surgical approaches in neck dissection: comparing functional, oncologic and aesthetic aspects of transverse cervicotomy to Paul André's approach. METHODS 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. RESULTS 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). CONCLUSIONS Aesthetic and functional impairment can be reduced using this new transverse cervical approach hidden in the natural creases of the neck described by Langer.
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Affiliation(s)
- D Guillier
- 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.
| | - V Moris
- 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
| | - A A Al Hindi
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France
| | - K Rem
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France
| | - H Chatel
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France
| | - L-A See
- 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
| | - M Revol
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France
| | - S Mazouz Dorval
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France
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George D, Spingarn C, Dissaux C, Nierenberger M, Rahman RA, Rémond Y. Examples of multiscale and multiphysics numerical modeling of biological tissues. Biomed Mater Eng 2017; 28:S15-S27. [DOI: 10.3233/bme-171621] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Daniel George
- ICube Laboratory, University of Strasbourg, CNRS, 2 rue Boussingault, 67000 Strasbourg, France
- International Center MEMOCS, University del Aquila, Palazzo Caetani, Cisterna di Latina, Italy
| | - Camille Spingarn
- ICube Laboratory, University of Strasbourg, CNRS, 2 rue Boussingault, 67000 Strasbourg, France
| | - Caroline Dissaux
- Service of Maxillo-Facial Surgery and Stomatology, Strasbourg University Hospital, 1 place de l’Hôpital, 67000 Strasbourg, France
| | - Mathieu Nierenberger
- ICube Laboratory, University of Strasbourg, CNRS, 2 rue Boussingault, 67000 Strasbourg, France
| | | | - Yves Rémond
- ICube Laboratory, University of Strasbourg, CNRS, 2 rue Boussingault, 67000 Strasbourg, France
- International Center MEMOCS, University del Aquila, Palazzo Caetani, Cisterna di Latina, Italy
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