Used for exposure in radical neck dissection. Line starts from hair line on scalp behind earlobe and runs parallel and posterior to sternocleidomastoid to level of lower thyroid, then swings midline, sometimes with extension 2/3rds of the way inferiorly towards the distal clavicle.. Can be used with bilateral neck dissection and thyroid removal with neck dissection and larynx removal with neck dissection. Provides adequate carotid coverage. Drawbacks are only moderate exposure and sometimes unsightly scar formation at incision line.