1) Anterior sternocleidomastoid incision 2) Progression by layers 3) Dissection and section of superficial cervical fascia 4) Retraction of the sternocleidomastoid to the posterior compartment 5) Progression by layers 6) Dissection and section of omohyoid muscle 7) Dissection and section of deep cervical fascia until exposure of major blood neck vessels 8) Dissection of carotid fascia 9) Identification of major blood neck vessels 10) Retraction towards posterior compartment 11) Identification of common carotid, internal yugular vein and vagus nerve 12) Retraction towards posterior compartment 13) Dissection of the cervical mass, releasing the ashesions surrounding with vessel sealing devices. 14) Tumoral vessels are sealed 15) Strict bleeding control 16) Wound closure by layers with absorbable materials 17) The resected cervical mass is sent to pathology for examination.