Cautery Pencil

Head and neck incisions

Author:

Altaf Malik HM

Department of Oral and Maxillofacial

Govt. Dental College, Srinagar.

Co-authors:

Dr. Ajaz Shah A

Associate Professor and Director,

Department of Oral and Maxillofacial

Govt. Dental College, Srinagar.

 

Dr. Suhail Latoo

Speaker

Department of Oral Pathology and Microbiology,

Govt. Dental College, Srinagar.

Dr. Manzoor Ahmad Malik

J & K Health Services, SDH Banipora

 

Dr. Rubeena Tabasum

Resident

CD Hospital, Srinagar.

Dr. Shazia Qadir

Department of Oral and Maxillofacial

Govt. Dental College, Srinagar.

INTRODUCTION

The incisions in the head and neck are of particular importance because of the presence of a large number of vital anatomical structures and also for aesthetic reasons. Damage to structures such as nerves in this region should be avoided by careful planning of the incision. The scars of incisions in this region are well exposed and are not normally hidden by clothing usual. Good planning and technical incision and closure is the only choice to avoid such scarring.

BASICS

In general, an incision should be

• Near the area to be addressed
• Should not imply or damaging vital anatomic structures (eg, nerves and arteries)
• Should give an excellent visual and mechanical access.
• The deficit cosmetics should be as minimal as possible
• Incision should not change the shape of any structure.
• It should not prevent vascular or lymphatic drainage.
• It should be placed in areas where the cure is easy

obtain better cosmetic results following basic concepts are used.

1. The incision can be hidden inside an orifice such as the oral cavity, nasal cavity.
2. Hair growth areas and provide cover hair lines.
3. The junction of aesthetic units are useful, for example, vermilion, around the nose ala.
4. The incisions are made in normal skin creases wrinkles, etc.

Incisions in PORT REGION

Incisions hidden inside the holes do not scar and is aesthetically superb examples degloving incisions are used in the oral cavity to expose the incisions mandible or maxilla, rhinoplasty or septoplasty placed inside the nose, lip orbital and the ground can be approached through incisions of the conjunctiva.

The disadvantages are

• postoperative deterioration in the appearance of holes by changing the symmetry of the nose, loss of depth of the groove mouth and lips, the exposure of the sclera, etc.
• limited movements of the lips and conjunctiva due to scarring.
• Break lines of incision by the movement
• compromise asepsis
• compromise access
• Need for special instruments

Incisions in bearing area HAIR

Hair growth areas and lines of hair provide excellent coverage of the scar to yield a superior cosmetic. This is the principle behind the use of eyebrows and hairline incisions bicoronal.

When submitting an incision in the hair bearing area

1. Incision should be placed parallel to the hair follicle say perpendicular to the skin incisions in the scalp, a bevel incision in the eyebrow.
2. Incision should not be placed in a baldness hair where the future is expected.

Incisions junctions of cosmetic units

Junction of aesthetic units are excellent areas where a scar can be hidden. This includes the groove lip and oral, nasal cheek junction, the lower lip is ju.