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level one through four neck dissection techniques when you start learning neck dissection itamp;#39;s important to think of it in layers and what structure is located adjacent to another structure with that in mind iamp;#39;ll share with you my surgical approach for neck dissection you can start out with a curved linen incision from the mastoid tip that has a gentle curve towards the level of cricoid you want to avoid making incision too high towards the level of a hyoid because youamp;#39;ll have hard time closing the neck in that situation this will be a common problem in patients thatamp;#39;s been previously been radiated or in patients need a flap reconstruction with extra tissue bulk theyamp;#39;ll make the neck closure that much more difficult if you need a bilateral neck dissection then you want to design a wide apron incision skin flap similarly you want to avoid creating a narrow base apron incision as it can also compromise neck closure lastly you can design a tracheal
