Treatment of the male neck

Published on 22/05/2015 by admin

Filed under Plastic Reconstructive Surgery

Last modified 22/05/2015

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CHAPTER 21 Treatment of the male neck

Physical evaluation

As we learned in the second year of medical school, the history and physical is an extremely significant aspect in the treatment of any and all problems that prompt a person to seek medical care. The chief complaint was the statement made by the patient having to do with why he or she has sought consultation. The history of present illness is a discussion of the problem itself along with its origin and its development, as well as the various aspects of its effect on the patient’s wellbeing. The past history has to do with previous medical problems including whatever surgery or less invasive procedures may have been introduced in the treatment of the specific chief complaint. A family history and review of systems are essential in that they may play a role in better understanding of the chief complaint, or they may play a role as subsequent examinations evolve.

The physical examination itself, which is a general examination in most instances, will focus more specifically upon the problem outlined in the present illness. It is this particular situation that the examination of the neck reveals the anatomy about which the patient is concerned. This involves redundant skin, laxity of the neck muscles and the presence or the lack of presence of subcutaneous and or subplatysmal fat. All these structures are those which will be addressed in the subsequent description of the operation. These are the structures prompting the patient’s chief complaint, “I don’t want a facelift, Doc. Just fix this.”

Anatomy

The preoperative markings

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