Step 7 Closure

The masseter and medial pterygoid muscle are sutured together with interrupted resorbable sutures (Fig. 9-11). It is often difficult to pass the suture needle through the medial pterygoid muscle because it is thin an the inferior border of the mandible. To facilitate closure, it is possible to strip the edge of the muscle for easier passage of the needle.

The superficial layer of deep cervical fascia does not require definitive suturing. The platysma muscle may be closed with a running resorbable suture (Fig. 9-11). Subcutaneous resorbable sutures are placed, followed by skin sutures.

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