Page 18 - Read Online
P. 18
Page 4 of 7 Beederman et al. Plast Aesthet Res 2022;9:54 https://dx.doi.org/10.20517/2347-9264.2022.64
Figure 1. The anatomical landmarks of the EJV, the SCM, and the clavicle are marked. A 5-7 cm longitudinal incision is designed in the
patient’s native skin crease, approximately 2 cm above the superior border of the clavicle within the aforementioned triangle. EJV:
[11]
External jugular vein; SCM: sternocleidomastoid muscle .
[11]
Figure 2. Gently retract the Internal Jugular Vein, and identify the Transverse Cervical Artery arising from the thyrocervical trunk .
Figure 3. Lymphatic vessels are carefully clipped (on the patient side) to prevent any subsequent lymph leaks. The lymphatic vessels on
[11]
the flap side are left unclipped .
and preserve the phrenic nerve, which is often encountered in the operative field. At this point, the SC
lymph node flap should be isolated on its pedicle and ready for ligation and division [Figure 4].
