本文强调作颈部横形切口,标本连同切除的颈阔肌,自后方向前解剖的方法远较自下而上的解剖为好,而且可以直接设计皮瓣利于缺损处的重建。手术系由MacFee所设计而加以改良,上方的切口位于舌骨平面,自乳突下直切至对侧二腹肌的舌骨平面,双侧清扫时则可切至对侧乳突区为止。下方切口视是否需利用肩 This article emphasizes the neck transverse incision, the specimen together with the removal of the platysma, anatomical approach from the rear than the bottom-up anatomy is better, and the flap can be directly designed to facilitate defect reconstruction. Surgery was designed and modified by MacFee. The upper incision is located on the hyoid plane, straight from the mastoid to the hyoid plane of the contralateral abdominal muscle, and can be cut to the contralateral mastoid area on both sides of the mammogram. Under the incision whether to use the shoulder