The neck incision was made along the anterior border of the sternocleidomastoid muscle and curved posteriorly beneath the ear. Care was taken with the posterior extension not to injure the spinal accessory nerve.
The platysma was divided and the investing layer of deep cervical fascia (see neck anatomy) was opened at the anterior border of the sternocleidomastoid. The initial exposure and exploration was performed by the vascular team.
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The carotid bifurcation is approached in the carotid triangle between the borders of sternocleidomastoid, anterior belly of omohyoid and posterior belly of digastric. The carotid bifurcation is normally at the level
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