Approach to cervicothoracic neuroblastomas via a trap-door incision.

Neuroblastomas located in the apex of the hemithorax or in the lower cervical region may make complete resection via a cervical or a thoracic approach difficult. The authors recently managed two patients with cervicothoracic neuroblastomas through an approach using the trap-door incision often applied in the setting of vascular trauma. This approach allowed a successful, complete excision of these tumors, which may have otherwise been difficult.