Step 3 Skin Incision

The initial incision is carried through skin and subcutaneous tissues to the level of the platysma muscle (Fig. 9-4). The skin is undermined with scissor dissection in all directions to facilitate closure. The superior portion of the incision is undermined approximately 1 cm; the inferior portion is undermined approximately 2 cm or more. The ends of the incision can be undermined extensively to allow retraction of the skin anteriorly or posteriorly to increase the amount of mandibular exposure. In this manner, a shorter skin incision can provide a great amount of exposure. Hemostasis is then achieved with eletrocoagulation of bleeding subdermal vessels.

Submandibular Incision
Figure 9- 3 Two locations of submandibular incisions. Incision A parallels the inferior border of the mandible. Incision B parallels or is within the resulting skin tension lines. Incision B makes a less conspicuous scar in most patients.

Was this article helpful?

0 0
How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

Get My Free Ebook

Post a comment