ABSTRACT

Posterior neck resection This 61-year-old male presented with a recurrent 3-cm high-grade fibrosarcoma. It is often easier to position the patient in the lateral position in order to gain full access to the posterior and anterior neck. An incision is made to incorporate resection of the previous biopsy site (Figure 11.1), and is usually

extended in a transverse direction in order to be oriented within the lines of Langer. This is gauged individually in order to get a tensionfree closure. Flaps are developed superiorly and inferiorly, exposing the underlying tumor and posterior neck muscles (Figure 11.2). The

Figure 11.1 Posterior neck resection: an incision is made to incorporate resection of the previous biopsy site.