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Comprehensive Overview of Neck Dissections

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Saeed Al-Shomimi
Saeed Al-Shomimi
Gesundheit & Medizin
1 von 88
Overview of neck dissections Presenter Dr. Yasser Al-Jehani Superviser Prof. S. Parashar
The coverage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why this topic ?
The requirement
Evolution of the neck dissection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Neck triangles
 
Surgical Anatomy -- Superficial cervical fascia -- Deep cervical fascia – Superficial layer • SCM, strap muscles, trapezius -- Middle or Visceral Layer • Thyroid • Trachea • esophagus -- Deep layer (also prevertebral fascia) • Vertebral muscles • Phrenic nerve
Platysma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Sternocleidomastoid Muscle (SCM) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SCM ,[object Object],[object Object],[object Object],[object Object]
 
Omohyoid muscle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Omohyoid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Trapezius muscle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Trapezius ,[object Object],[object Object],[object Object]
Digastric muscle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Digastric ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Marginal Mandibular Nerve ,[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],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Spinal Accessory Nerve CN XI – Relationship with the IJV
Spinal Accessory Nerve ,[object Object],[object Object],[object Object],[object Object]
Phrenic Nerve ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Thoracic duct ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Staging 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],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lymph Node Levels/Nodal Regions ,[object Object],[object Object],[object Object],[object Object]
 
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[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Classification of Neck Dissections ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Academy’s classification
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medina classification (1989) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Spiro’s classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Radical Neck Dissection ,[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object]
Modified Radical Neck Dissection (MRND) ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MRND Type I
MRND Type II
MRND Type III
MRND Type I ,[object Object],[object Object],[object Object],[object Object]
MRND Type II ,[object Object],[object Object],[object Object],[object Object]
MRND Type III ,[object Object],[object Object],[object Object],[object Object]
Modified Radical Neck Dissection ,[object Object],[object Object],[object Object],[object Object],[object Object]
Selective Neck Dissections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SELECTIVE NECK DISSECTION ,[object Object],[object Object],[object Object],[object Object]
SND: Supraomohyoid type ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
SND: Supraomohyoid type ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[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]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SND: Posterolateral Type ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
SND: Anterior Compartment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Extended Neck Dissection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Thanks

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