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#1
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08-04-2021, 03:26 PM
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Face and Neck Dissection: The “face/off” Technique
Face and neck dissection: The “face/off” technique (Pomara C.). An initial transverse incision in the upper part of the thorax is made from shoulder to shoulder (bisacromial). Then, a bimastoid resection is performed and it is continued to the bisacromial resection (Fig.1). Fig.1 Bisacromial and bimastoid incisions are performed. The cadaver is placed in a sitting position in order to access the posterior compartment of the cervical superficial fascia. The anterior biacromial transverse incision is continued posteriorly, through a longitudinal incision following along the posterior midline, extending to the sixth cervical vertebra. The skin was reflected superiorly (Figs.2-4). Fig.2 Overturning of the skin from the biacromial transverse incision. Fig.3 Overturning of the skin from the biacromial transverse incision. Fig.4 Overturning of the skin from the biacromial transverse incision. The scalp is incised enough to allow the prosector to grasp the two edges with his hands, and the front half of the scalp is overturned anteriorly. The bimastoid incision is continued, by a scalpel, up to the superficial layers of the alveolar process of the maxillary bones. Eyelids and the skin of the nasal bone are preserved (Figs.5-6). Fig.5 Dissection of the scalp from the bimastoid incision to the alveolar process of the maxillary bones. Fig.6 Dissection of the scalp from the bimastoid incision to the alveolar process of the maxillary bones. The upper half of the skin from the posterior biacromial transverse incision is overturned until the posterior half of the bimastoid incision (Fig.7). Fig.7 Dissection of the posterior cervical face. Fig.8 The face approach. Fig.9 The face approach. From the upper half of the skin of the anterior biacromial transverse incision, a dissection of the cutaneous and subcutaneous tissues is performed until the superficial layers of the alveolar process of the maxillary bones (Figs.8-9). - This post is for educational purposes only and is nonprofit. Under Section 107 of the US Copyright Act of 1976; Allowance is made for "Fair Use" for purposes such as criticism, comment, news reporting, teaching, scholarship, and research. OP is not a medical expert. No copyright infringement intended. This post does not encourage or glorify violence/harassment. Images might have been upscaled and enhanced. Text might have been shortened and simplified/reorganized for online view. |
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#4
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08-08-2021, 01:31 PM
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Re: Face and Neck Dissection: The “face/off” Technique
Perhaps preparations for an anatomy class. There would be no reason for this type of incision/process during an autopsy.
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