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Neck Dissection RAKSHITH AVB
Definition It is a procedure to remove lymph nodes and surrounding fibro fatty tissues from neck to eradicate metastasis to cervical lymph nodes in cancer of aerodigestive tract.
Fascial layers of the neck ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Level I ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Level I ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Level II ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Spinal Accessory Nerve ,[object Object]
Level II ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Level III ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Level III ,[object Object],[object Object],[object Object],[object Object],[object Object]
Level IV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Level IV ,[object Object],[object Object],[object Object],[object Object]
Level V ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Level V ,[object Object],[object Object],[object Object]
Level VI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Level VI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Level VI ,[object Object],[object Object],[object Object],[object Object]
Subgroups ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Common Nodal Drainage Patterns Face and Scalp Anterior Facial, Ib   Lateral Parotid   Posterior Occipital, V Eyelids Medial Ib   Lateral Parotid, II Chin   Ia, Ib, II External Ear Anterior Parotid, II   Posterior Post auricular, II, V Middle Ear   Parotid, II Floor of mouth Anterior Ia, Ib, IIa > IIb   Lower incisors Ia, Ib, IIa  > IIb   Lateral Ib, IIa  > IIb , III   Teeth except incisors Ib, IIa  > IIb , III Nasal Cavity Anterior Ib   Posterior Retropharyngeal, II, V
Common Nodal Drainage Patterns Nasal Cavity Posterior Retropharyngeal, II, V Nasopharynx   Retropharyngeal, II, III, V Oropharynx   IIb > IIa, III, IV, V Larynx Supraglottic IIa > IIb, III, IV   Subglottic VI, IV Cervical esophagus   IV, VI Thyroid   VI, IV, V, Mediastinal Tongue Tip Ia, Ib, IIa > IIb, III, IV    Lateral Ib, IIa > IIb, III, IV
Staging ,[object Object],[object Object],[object Object]
Staging ,[object Object],[object Object],[object Object],[object Object]
Staging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification  ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Structures to be preserved ,[object Object],[object Object],[object Object],[object Object],[object Object]
Indications ,[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object]
Facts ,[object Object],[object Object],[object Object]
Indications ,[object Object],[object Object],[object Object],[object Object]
Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Indications ,[object Object],[object Object],[object Object],[object Object],[object Object]
SND : Supra Omohyoid Type ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SND : Lateral Type ,[object Object],[object Object],[object Object],[object Object],[object Object]
SND : Posterolateral Type ,[object Object],[object Object],[object Object],[object Object],[object Object]
SND : Anterior Compartment ,[object Object],[object Object],[object Object],[object Object]
Y Incision
McFee Incision
H Incision
J Incision
COMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Neck Dissection Guide

  • 2. Definition It is a procedure to remove lymph nodes and surrounding fibro fatty tissues from neck to eradicate metastasis to cervical lymph nodes in cancer of aerodigestive tract.
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  • 23. Common Nodal Drainage Patterns Face and Scalp Anterior Facial, Ib   Lateral Parotid   Posterior Occipital, V Eyelids Medial Ib   Lateral Parotid, II Chin   Ia, Ib, II External Ear Anterior Parotid, II   Posterior Post auricular, II, V Middle Ear   Parotid, II Floor of mouth Anterior Ia, Ib, IIa > IIb   Lower incisors Ia, Ib, IIa > IIb   Lateral Ib, IIa > IIb , III   Teeth except incisors Ib, IIa > IIb , III Nasal Cavity Anterior Ib   Posterior Retropharyngeal, II, V
  • 24. Common Nodal Drainage Patterns Nasal Cavity Posterior Retropharyngeal, II, V Nasopharynx   Retropharyngeal, II, III, V Oropharynx   IIb > IIa, III, IV, V Larynx Supraglottic IIa > IIb, III, IV   Subglottic VI, IV Cervical esophagus   IV, VI Thyroid   VI, IV, V, Mediastinal Tongue Tip Ia, Ib, IIa > IIb, III, IV   Lateral Ib, IIa > IIb, III, IV
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  • 43.
  • 44.
  • 45.
  • 46.
  • 51.