Neck dissection

Revision as of 12:11, 24 November 2023 by Nikolas (talk | contribs) (Created page with "* Neck dissection ** Radical neck dissection *** Regions I – V *** En bloc removal of everything in the neck except carotid artery, vagus, phrenic nerve, hypoglossal nerve *** Metastatic disease of the neck ** Modified neck dissection *** Preserves SCM, internal jugular vein OR accessory nerve *** Metastatic disease of the neck where the aforementioned structures are not infiltrated ** Selective neck dissection *** Preservation of certain regions *** I – III or II...")

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Neck dissection
- Radical neck dissection
  - Regions I – V
  - En bloc removal of everything in the neck except carotid artery, vagus, phrenic nerve, hypoglossal nerve
  - Metastatic disease of the neck
- Modified neck dissection
  - Preserves SCM, internal jugular vein OR accessory nerve
  - Metastatic disease of the neck where the aforementioned structures are not infiltrated
- Selective neck dissection
  - Preservation of certain regions
  - I – III or II – IV
Neck regions
- Region I – submental and submandibular region
  - Lips
  - Tongue
  - Oral cavity
  - Sublingual gland
  - Submandibular gland
- Region II – superior (internal) jugular region or superior parajugular region
  - Oral cavity
  - Nasal cavity
  - Pharynx
  - Larynx
  - Parotid
- Region III – middle (internal) jugular region or middle parajugular region
  - Oral cavity
  - Pharynx
  - Larynx
- Region IV – inferior (internal) jugular region or inferior parajugular region
  - Thyroid
  - Larynx
  - Hypopharynx
  - Upper oesophagus
- Region V – posterior triangle
  - Nasopharynx
  - Posterior scalp
  - Ear
- Region VI – central or anterior compartment
  - Thyroid
  - Larynx
  - Hypopharynx

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