Preoperative Considerations
Consent:
- Discuss neck incision/expected scarring
- Numbness in great auricular distribution
- Marginal mandibular/cervical weakness
Anesthesia/Positioning:
- Supine
- Shoulder roll for neck extension
- Paralytics are OK
Armamentarium:
- Local anesthesia
- Monopolar/Bipolar Electrocautery
- #15/10 blade
- Double prong skin hooks
- Debakey
- Vascular Clips (S/M)
- Tonsil
- Fish hooks/ Lone star self retaining retractor
- 3-0 Vicryl
- Skin sutures
Technique
The flap should encompass skin, subcutaneous tissue, platysma - Hemostasis should be ensured prior to closure
- Can apply a hemostatic agent as pictured
Postoperative Considerations
Immediate:
- Q4 drain output PRN
- Bacitracin to wound
![](https://cdn.prod.website-files.com/65b3851734729d4f90edb7ed/65b7dd9e7d326078d0bc368e_adobe%20image%20svg.svg)
Forms