Closure Of The Wound

Figures 4-58 and 4-59 show the appearance of the neck after functional neck dissection has been completed. Once again, we would like to emphasize that it is not the preservation of anatomical structures that makes functional neck dissection different from radical neck dissection, but the approach to the neck through fascial planes.

The neck is carefully inspected for bleeding points and surgical sponges. Careful hemostasis is time consuming but rewarding. The entire field is thoroughly irrigated with normal saline. Finally, the skin is closed in two layers over a large suction catheter. The platysma is sutured with absorbable buried sutures, and the skin with skin clips. A moderately tight dressing is applied with special attention to the supraclavicular fossa because this is the area where most serohematomas develop.

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