Observations of the too frequent indifferent methods and the correspondingly poor results obtained in dissections of the neck in general, invite an attempt to develop an orderly and clearcut technic and a definite understanding of the objects to be attained. The substance of this paper recalls the teaching of the surgical masters of the past and present and, in addition, records the experiences of the authors throughout a decade of surgical operations of the neck.
Dissections of the neck are performed for metastatic carcinomas, primary endotheliomas, localized Hodgkin's disease, intractable tuberculosis and for less frequent conditions, such as lymphosarcoma, carcinoma of the brachial cleft and tumors of the carotid body. Our purpose is to outline a method for the eradication of malignant processes which are primary elsewhere and metastatic in the neck. Primary carcinoma of the lower lip or of the skin of the face below the mouth