@article { author = {Roy, Satadru and Shetty, Vikram and Sherigar, Vishwanath and Hegde, Padmaraj and Prasad, Rajendra}, title = {Evaluation of Four Incisions Used For Radical Neck Dissection- A Comparative Study}, journal = {Asian Pacific Journal of Cancer Prevention}, volume = {20}, number = {2}, pages = {575-580}, year = {2019}, publisher = {West Asia Organization for Cancer Prevention (WAOCP), APOCP's West Asia Chapter.}, issn = {1513-7368}, eissn = {2476-762X}, doi = {10.31557/APJCP.2019.20.2.575}, abstract = {Objective: To evaluate the four commonly used incisions for Radical Neck Dissection on the basis of certain definedparameters. Patients and Methods: The investigators designed and implemented a prospective comparative studycomposed of patients with oral squamous cell carcinoma. The predictor variable was time taken to raise and close theflaps, accessibility to the neck lymph nodes, injury to vital structures and scar cosmesis followed up to a period of threemonths. Descriptive statistics were computed. Results: The sample was composed of 40 patients grouped as follows:Macfee Incision (=10 patients), Modified Macfee Incision (=10 patients), Modified Schobinger Incision (=10 patients)and Reverse Hockey Stick Incision (=10 patients). Group A, consisiting of the patients with Macfee Incision, took theleast time to close among all the groups ( Mean= 32.60 minutes) while Group C (patients with Modified SchobingerIncision) required the most time for closure ( Mean= 51.90 minutes). The Modified Schobinger Incision provided bestexposure to neck node levels. The Macfee Incision was found to have the best scar cosmesis among the four incisions.Conclusion: The results of this study suggest that Modified Schobinger Incision is the preferred incision for adequateaccess to neck lymphatics while Macfee Incision was found to provide the best scar cosmesis.}, keywords = {oral cancer,head and neck cancer,oral squamous cell carcinoma,Radical Neck Dissection}, url = {https://journal.waocp.org/article_82368.html}, eprint = {https://journal.waocp.org/article_82368_3439e51028811fddaf5419104359432d.pdf} }