c l i n i c a l f o l i o s : n a r r a t i v e





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Surgical Anatomy of the Neck: 16

A D V E R T I S E M E N T

   
 

The anatomic designation of cervical nodes is indicated. The majority of head and neck cancers are squamous and spread sequentially along lymphatic pathways. As a result, good treatment results are obtained by appropriate surgical resection of tumor and regional nodal basins. Chemoradiation is also dramatically changing the need for extensive nodal dissection. 

Related topic: Modified Neck Dissection     

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Surgical Anatomy of the Neck: 17

A D V E R T I S E M E N T

   
 

Current anatomical staging of head and neck tumors includes designation of nodal areas. Level I is submandibular, levels II-IV are internal jugular areas separated by the hyoid and omohyoid. Level V is posterior triangle bounded by sternocleidomastoid and trapezius. Level VI is anterior neck. 

Related topic: Modified Neck Dissection     

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Surgical Anatomy of the Neck: 18

A D V E R T I S E M E N T

   
 

In 1906 George Crile devised the radical neck dissection, taking sternocleidomastoid, omohyoid, internal jugular vein and spinal accessory nerve along with associated lymphatic-bearing soft tissue. Boundaries are the body of the mandible above to clavicle below, and trapezius posteriorly to edge of straps anteriorly. 

Related topic: Modified Neck Dissection     

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This page was last modified on 9/19/2005.