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Radical neck dissection: considerations in flat design.

Abstract

A wide choice of skin incisions and skin flaps is available to the surgeon contemplating radical neck dissection. The choice of incisions, however, may often be influenced by a number of existing or pre-existing conditions. Each situation has to be treated on its own merit depending on the prevailing cicumstances if all objectives are to be achieved.

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BibTeXRIS

R McNeill. 1978. Radical neck dissection: considerations in flat design.. https://doi.org/10.1017/s0022215100085790

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Successful separation of pygopagus conjoined twins and primary skin closure using V-shaped flaps.

Pygopagus conjoined twins were born by caesarean section at 34 weeks of gestation. Initial evaluation revealed no other abnormalities apart from their attachment at lower back, buttocks and perineum. They had two separate anal and urogenital openings. Their investigations included roentgenograms, ultrasound, barium enema, cystourethrogram, CT scan and MRI. There were two separate spinal columns fused distally at the lower sacral level. Lower gastrointestinal studies showed two separate rectums and cystourethrogram showed normal and separate urinary tracts. MRI showed a single dural sac between two fused sacral bones with no other vertebral anomalies. They were successfully separated with primary skin closure using V-shaped flaps.

Dermatologic Surgical Procedures↗