In cases of trauma, it may be necessary to dissect the soft tissue of the face that lies in close proximity to the bony or cartilaginous framework of the head, namely, the bones of the cranium and face. When working in this area it is important to be aware that dissection should not be so radical as to preclude adequate cosmetic reconstruction.
An incision is made in a plane passing behind the acromion. Andover, the scapular edge on either side, until they join in the middle of the neck along its posterior surface. Visualize the muscles over scapular cavities, the insertions of the sternocleidomastoid muscle, and the muscular cavities of the cervical plane. Extending the incision from the front to the back edge of the mandible allows for direct visualization of all the facial soft tissues.
Fig.1 Access to the face in a homicide case; detaching of the soft tissues until the mastoid edge of the sternocleidomastoid muscle, the zygomatic arches, and the nasal pyramid.
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