Incision made to facilitate neck exposure in radical neck dissection. Uses incision from angle of mandible to midclavicle and 2 v-shaped incisions under angle of jaw and above clavicle, resembling an H on it’s side. Cosmetically considered unappealing. Posterior flap is at risk of devascularization along with triangular trifurcation of the flaps. If wound breakdown occurs, underlying carotid artery is exposed.