A Modified Cosmetic Technique for Head and Neck Dissection in Autopsy Especially for Bald-headed Deceased

P. Appuhamy
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Abstract

The autopsy is a specialized procedure in which a pathologist performs a thorough external and internal examination including dissection of the organs from different body cavities such as cranial, thoracic, abdominal, and pelvic. In such dissection of an intact dead body, disfiguration and destruction are likely. When viewed during a funeral service, the currently practiced conventional autopsy dissection techniques can result in minimal tell-tale autopsy marks on the body of the deceased, in exposed areas of the head and neck even when the other areas of the body are covered with clothing. We propose a modification to the conventional skin incision over the head and neck in a way that the incision is placed over the back of the head and neck compared to the conventional incision over the sides of the head and sides of the neck. In this way, the incisions and their stitch marks are hidden, making them cosmetically sound. Although the exposure gained through the proposed method is similar to the conventional method additional incisions over the back of the neck with the additional turning of the body from supine to prone can increase the time duration of the autopsy compared to the conventional method. Moreover, in this method, the incisions are invisible even in a bold-headed deceased as the head incision is placed over the back.
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一种改进的头颈部解剖美容技术,特别是对秃顶死者
尸检是一个专门的程序,病理学家进行彻底的外部和内部检查,包括从不同的体腔,如颅、胸、腹和盆腔解剖器官。在这样解剖一具完整的尸体时,很可能出现变形和破坏。当在葬礼上观看时,目前实践的传统尸检解剖技术可以在死者身上留下最小的尸检痕迹,在头部和颈部的暴露区域,即使身体的其他区域被衣服覆盖。我们建议对传统的头部和颈部皮肤切口进行修改,将切口置于头部和颈部的后部,而不是传统的头部和颈部两侧的切口。这样,切口和针脚就会被隐藏起来,使它们看起来更美观。虽然通过该方法获得的暴露与传统方法相似,但在颈部后方的额外切口以及身体从仰卧位转向俯卧位,与传统方法相比,可以增加尸检的时间。此外,在这种方法中,切口是看不见的,即使在一个光头的死者,因为头部切口位于背部。
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