Download A Comparative Study of Surgical Techniques on the Cervicomental

From: A Comparative Study of Surgical Techniques on the Cervicomental Angle in Human Cadavers
Arch Facial Plast Surg. 2002;4(4):236-242.
Figure Legend:
A, A neurosurgical cranial fixation device guarantees consistent upright head position for preoperative and postoperative
measurements. B, View of cadaver head from above.
Date of download: 5/7/2017
Copyright © 2002 American Medical
Association. All rights reserved.
From: A Comparative Study of Surgical Techniques on the Cervicomental Angle in Human Cadavers
Arch Facial Plast Surg. 2002;4(4):236-242.
Figure Legend:
Plication of the medial edges of the platysma is performed from the mentum to the thyroid notch with interrupted sutures. Adapted
from Caplin and Prendiville.20
Date of download: 5/7/2017
Copyright © 2002 American Medical
Association. All rights reserved.
From: A Comparative Study of Surgical Techniques on the Cervicomental Angle in Human Cadavers
Arch Facial Plast Surg. 2002;4(4):236-242.
Figure Legend:
After undermining and submental lipectomy, the anterior bellies of the digastric muscles are plicated. These muscles diverge
laterally along a path toward the hyoid bone, permitting the placement of 3 to 5 sutures. Adapted from Caplin and Prendiville.20
Date of download: 5/7/2017
Copyright © 2002 American Medical
Association. All rights reserved.
From: A Comparative Study of Surgical Techniques on the Cervicomental Angle in Human Cadavers
Arch Facial Plast Surg. 2002;4(4):236-242.
Figure Legend:
A, A mastoid-to-mastoid suspension suture is placed through the medial edge of the platysma in a horizontal mattress fashion and
interlocked with a second suture placed in the same fashion through the contralateral edge of the platysma (inset). These sutures
are drawn through a previously formed subcutaneous preplatysmal tunnel and sutured to the mastoid periosteum bilaterally. The
face is turned toward the contralateral side when the suture is secured to the mastoid periosteum. Adapted from Caplin and
Prendiville.20 B, Posterior view of a mastoid-to-mastoid
suspension
suture Medical
placed in the left neck of a cadaver.
Copyright
© 2002 American
Date of download: 5/7/2017
Association. All rights reserved.
From: A Comparative Study of Surgical Techniques on the Cervicomental Angle in Human Cadavers
Arch Facial Plast Surg. 2002;4(4):236-242.
Figure Legend:
Mean difference in primary end points across the 4 groups. Error bars represent SDs. Group A, preauricular and postauricular
superficial musculoaponeurotic system (SMAS) plication and midline platysmal plication; Group B, preauricular and postauricular
SMAS plication, midline platysmal plication, and suturing of the anterior bellies of the digastrics; Group C, preauricular and
postauricular SMAS plication, midline platysmal plication, and interlocking mastoid-to-mastoid preplatysmal sutures; Group D,
preauricular and postauricular SMAS plication, midline
platysmal
plication,Medical
suturing of the anterior bellies of the digastrics, and
Copyright
© 2002 American
Date
of download:
5/7/2017
interlocking
mastoid-to-mastoid
preplatysmal sutures.
CM
indicates
cervicomental;
Mentum-CM Distance, the distance between the
Association. All rights reserved.
mentum and the CM angle; and Sternum-CM Distance, the distance between the sternum and the CM angle.
From: A Comparative Study of Surgical Techniques on the Cervicomental Angle in Human Cadavers
Arch Facial Plast Surg. 2002;4(4):236-242.
Figure Legend:
A, Lateral view of a cadaver shows an obtuse cervicomental (CM) angle caused by unfavorable anatomic characteristics, including
cervical skin laxity, attenuation of the platysma, preplatysmal and subplatysmal fat, and a low hyoid. B, Postoperative lateral view
shows that placement of a mastoid-to-mastoid suture has elevated the breakpoint of the CM angle, reducing its magnitude.
Date of download: 5/7/2017
Copyright © 2002 American Medical
Association. All rights reserved.