PMID: 11906417Mar 22, 2002Paper

Optimal position for a cervical collar incision: a prospective study

ANZ Journal of Surgery
Stephen JancewiczPeter Campbell

Abstract

The descriptions of the optimal method for placing a cervical collar incision for thyroidectomy or parathyroidectomy are varied. It has been our impression that a collar incision marked in the neutral upright neck, migrates superiorly relative to the sternal notch when the patient is placed in the supine position. The aim of this study was to investigate the validity of this impression and to assess whether this is influenced by patient factors and/or pathology. Fifty patients undergoing either thyroid or parathyroid surgery had a planned incision marked 1 finger-breadth (17 mm) above the sternal notch when sitting in the upright position. When placed in the supine position, with neck extended, the distance from the sternal notch to the marked incision was remeasured. Patient variables such as body mass index, height, weight and neck circumference were documented prospectively and data were recorded on operative details and tumour pathology. The collar incision marked in the neutral upright neck, migrated on average 21 mm superiorly once the patient was placed supine with the neck extended (P=0. 0001 ).The extent of migration was independent of all patient factors, type of operation and thyroid or parathyroid pathology. Migrati...Continue Reading

References

Jan 1, 1987·The British Journal of Surgery·P R Eldridge, M H Wheeler
Dec 1, 1983·The Surgical Clinics of North America·W B Farrar
Nov 1, 1994·The British Journal of Surgery·A R Ready, A D Barnes
Jun 1, 1996·World Journal of Surgery·R B Welbourn

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Citations

Aug 23, 2002·ANZ Journal of Surgery·Jacob W T Ng
Jan 27, 2007·BMC Surgery·Massimo RuggieriPatrizia Gargiulo
Jun 8, 2004·Acta chirurgica Iugoslavica·M IgnjatovićP Romić
Dec 2, 2015·Molecular and Clinical Oncology·Hui YuJianjun Yu
Oct 24, 2007·Injury·R Khokhar, G P Ashcroft
Aug 26, 2014·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·William S DukeDavid J Terris
Dec 6, 2016·The Journal of Laryngology and Otology·C RajakumarK Fung
Dec 4, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jung Ho ParkYong Joon Suh

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