Scribd Logo
Upload

Welcome to Scribd!

  • 169 views

    Alam Mo Gusto Ko Sanang Maging Pulis,: para Ikaw Ang Most Wanted Ko

    Uploaded by

    viorel79
    The document provides an overview of the surgical anatomy of the neck. It discusses key anatomical structures like the fascia, triangles, muscles, lymphatics and drainage patterns. Specifically, it describes the superficial and deep cervical fascia, the anterior and posterior triangles, the suprahyoid and infrahyoid muscles, the 6 levels of cervical lymph nodes and their typical drainage areas, and the general approach to evaluating an asymmetric neck mass. The objectives are to understand the terminology and identify the important anatomical landmarks and relationships in the neck.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd

    Alam Mo Gusto Ko Sanang Maging Pulis,: para Ikaw Ang Most Wanted Ko

    Uploaded by

    viorel79
    169 views43 pages
    The document provides an overview of the surgical anatomy of the neck. It discusses key anatomical structures like the fascia, triangles, muscles, lymphatics and drainage patterns. Specifically, it describes the superficial and deep cervical fascia, the anterior and posterior triangles, the suprahyoid and infrahyoid muscles, the 6 levels of cervical lymph nodes and their typical drainage areas, and the general approach to evaluating an asymmetric neck mass. The objectives are to understand the terminology and identify the important anatomical landmarks and relationships in the neck.

    Original Title

    SURGICAL ANATOMY OF THE HEAD AND NECK 2011

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document provides an overview of the surgical anatomy of the neck. It discusses key anatomical structures like the fascia, triangles, muscles, lymphatics and drainage patterns. Specifically, it describes the superficial and deep cervical fascia, the anterior and posterior triangles, the suprahyoid and infrahyoid muscles, the 6 levels of cervical lymph nodes and their typical drainage areas, and the general approach to evaluating an asymmetric neck mass. The objectives are to understand the terminology and identify the important anatomical landmarks and relationships in the neck.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    169 views43 pages

    Alam Mo Gusto Ko Sanang Maging Pulis,: para Ikaw Ang Most Wanted Ko

    Uploaded by

    viorel79
    The document provides an overview of the surgical anatomy of the neck. It discusses key anatomical structures like the fascia, triangles, muscles, lymphatics and drainage patterns. Specifically, it describes the superficial and deep cervical fascia, the anterior and posterior triangles, the suprahyoid and infrahyoid muscles, the 6 levels of cervical lymph nodes and their typical drainage areas, and the general approach to evaluating an asymmetric neck mass. The objectives are to understand the terminology and identify the important anatomical landmarks and relationships in the neck.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    You are on page 1of 43

    Alam mo gusto ko sanang mag pulis….

    …para ikaw ang MOST WANTED KO!

    ALAM MO GUSTO KO SANANG MAGING


    PULIS,

    … PARA IKAW ANG MOST WANTED KO.


    PAG IKAW ANG KASAMA KO …

    TINATAMAD AKO …

    … KASE ANG SARAP MAGPAHINGA SA


    PILING MO.
    SANA ULAN KA AT LUPA NA LANG AKO

    … PARA KAHIT GAANO KALAKAS ANG


    PATAK MO, SA AKIN PA RIN ANG
    BAGSAK MO.
    BAGYO KA BA?

    KASI THE MOMENT YOU LEFT MY AREA


    OF RESPONSIBILITY, YOU LEAVE MY
    HEART IN A STATE OF CALAMITY
    HINDI KA NAMAN KAMERA …

    PERO TUWING NAKIKITA KITA,


    NAPAPANGITI AKO.
    SURGICAL ANATOMY
    OF THE
    NECK

    ELMO R. LAGO JR. MD FPCS FPSO-HNS


    OUR LADY OF LOURDES HOSPITAL
    OBJECTIVES
    GENERAL OBJECTIVE
    – TO KNOW THE SURGICAL ANATOMY OF THE
    NECK

    SPECIFIC OBJECTIVES
    – TO KNOW THE BASIC TERMINOLOGIES
    USED IN DESCRIBE STRUCTURES OF
    THE NECK
    – TO KNOW THE FASCIA OF THE NECK
    – TO KNOW THE DIFFERENT TRAINGLES OF THE
    NECK AND DETERMIINE THEIR SIGNIFICANCE
    – TO KNOW THE CERVICAL LYMPHATICS OF THE
    NECK AND THEIR SIGNIFICANCE
    ANATOMICAL TERMINOLOGIES

    UNDERSTANDING THE TERMS IS VERY CRITICAL TO


    UNDERSTANDING ANATOMY. LANGUAGE USED TO
    COMMUNICATE STRUCTURES.

    MAKES USE OF THE “STANDARD ANATOMICAL


    POSITION” AS THE BASIS OF TERMS
    PLANES AND TERMINOLOGIES

    MIDSAGITTAL PLANE – VERTICAL PLANE PASSING


    THE CENTER OF THE BODY DIVIDING THE BODY
    INTO EQUAL LEFT AND RIGHT HALVES
    MEDIAL – NEARER THE MIDSAGITTAL PLANE
    LATERAL – AWAY THE MIDSAGITTAL PLANE

    CORONAL PLANE – VERTICAL PLANE RUNNING


    PERPENDICULAR TO THE MIDSAGITTAL PLANE
    AND DIVIDES THE BODY TO A FRONT AND A BACK
    ANTERIOR – GOING FRONT
    POSTERIOR – GOING BACK
    PLANES AND TERMINOLOGIES

    TRANSVERSE PLANE – IT IS A HORIZONTAL PLANE


    RUNNING PERPENDICULAR TO THE FIRST TWO
    PLANES AND DIVIDES THE BODY INTO A UPPER
    AND LOWER PART.
    SUPERIOR – GOING CRANIAL
    INFERIOR – GOING CAUDAL
    PLANES AND TERMINOLOGIES
    THE NECK

    THE NECK IS THAT REGION OF THE BODY LOCATED


    BETWEEN THE MANDIBLE ABOVE AND THE
    CLAVICLE BELOW. IT IS ENCLOSED SUPERFICIALLY
    BY THE SKIN AND ITS UNDERLYING FASCIA

    THE FASCIA CAN BE GROUPED INTO A SUPERFICIAL


    CERVICAL AND A DEEP CERVICAL FASCIA.

    SUPERFICIAL CERVICAL FASCIA – ENCLOSES THE


    PLATYSMA, CUTANEOUS NERVES, EXTERNAL
    JUGULAR VEIN AND ANTERIOR JUGULAR VEIN AND
    SUPERFICIAL LYMPH NODES
    THE DEEP CERVICAL FASCIA
    3 LAYERS:
    1. INVESTING – SURROUNDS THE NECK, ENCLOSES
    THE SCM AND TRAPEZIUS MUSCLES
    2. PRETRACHEAL – SURROUNDS THE STRAP
    MUSCLES (INFRAHYOID MUSCLES) AND THE
    VISCERA OF THE NECK (LARYNX, THYROID)
    3. PREVERTEBRAL – SURROUNDS THE CERVICAL
    VERTEBRAE AND THE NECK MUSCLES

    THE CAROTID SHEATH IS FORMED BY


    CONTRIBUTIONS FROM THE 3 LAYERS OF DEEP
    FASCIA.THIS SHEATH ENVELOPS THE Internal Jugular
    Vein, Common Carotid Artery, AND VAGUS NERVE
    SUPERFICIAL AND DEEP CERVICAL FASCIA
    CLINICAL TRIANGLES
    AND MUSCLES OF
    THE NECK
    • ANTERIOR TRIANGLE
    • POSTERIOR TRIANGLE
    TRIANGLE STRUCTURES

    SUBMENTAL
    SUBMENTAL LYMPH NODES, SUBMENTAL FAT, GH
    SUBMANDIBULAR
    SUBMANDIBULAR GLAND, SUBMANDIBULAR LYMPH
    NODES, FACIAL ARTERY, WHARTON’S DUCT, MH
    CAROTID
    COMMON CAROTID ARTERY, INTERNAL JUGULAR
    VEIN, VAGUS NERVE, JUGULAR NODES
    MUSCULAR
    HYOID, THYROID CARTILAGE, CRICOID CARILAGE,
    TRACHEA, THYROID GLAND, OMOHYOID,
    STERNOHYOID, STERNOTHYROID, THYROHOID
    OCCIPITAL
    SPINAL ACCESSORY NERVE, FAT, POSTERIOR
    GROUP OF NODES
    SUPRACLAVICULAR
    TIP OF THE LUNG, SUPRACLAVICULAR LYMPH
    NODES
    PALPATING THE CAROTID PULSE
    MUSCLES OF THE NECK

    STERNOCLEIDOMASTOID
    FROM UPPER PART OF MANUBRIUM STERNI
    (STERNAL HEAD) AND MEDIAL THIRD OF THE
    CLAVICLE (CLAVICULAR HEAD) TO MASTOID
    PROCESS
    TILTING HEAD AND FACE UPWARDS AND TO THE
    OPPOSITE SIDE
    ACCESSORY NERVE (XII)

    TRAPEZIUS
    FROM EOP AND SNL TO LATERAL 1/3 OF CLAVICLE,
    ACROMION
    SHOULDER SHRUG
    ACCESSORY NERVE (XII)
    STERNOCLEIDOMASTOID

    TRAPEZIUS
    TRAPEZIUS STERNOCLEIDOMASTOID
    SUPRAHYOID MUSCLES
    DIGASTRIC, POSTERIOR BELLY
    FROM MASTOID TO LESSER HORN OF THE HYOID
    DIGASTRIC, ANTERIOR BELLY
    INNER SURFACE OF MANDIBLE TO LESSER HORN
    OF THE HYOID
    MYLOHYOID
    FROM MYLOHYOID LINE TO ANTERIOR SURFACE
    OF THE HYOID
    GENIOHYOID
    FROM INFERIOR MENTAL SPINE TO BODY OF
    HYOID

    SUPRAHYOID MUSCLES ALL ELEVATE THE HYOID


    INFRAHYOID MUSCLES
    STERNOHYOID
    FROM STERNUM TO HYOID
    STERNOTHYROID
    FROM STERNUM TO THE OBLIQUE LINE, THYROID
    CARTILAGE
    THYROHYOID
    FROM OBLIQUE LINE, THYROID CARTILAGE TO THE
    HYOID BONE
    OMOHYOID
    FROM SCAPULA TO THE HYOID BONE

    ALL INFRAHYOID MUSCLES DEPRESS THE HYOID


    NECK MUSCLES
    SUPRAHYOID GROUP OF MUSCLES

    INFRAHYOID GROUP OF MUSCLES


    CERVICAL LYMPHATICS
    • LEVEL 1 – Submental / Submandibular
    Lymph Nodes
    • LEVEL 2 – Upper Jugular Lymph Nodes
    • LEVEL 3 – Middle Jugular Lymph Nodes
    • LEVEL 4 – Lower Jugular Lymph Nodes
    • LEVEL 5 – Posterior Triangle Lymph
    Nodes
    • LEVEL 6 – Anterior Compartment Lymph
    Nodes
    6 LEVELS FOR DESCRIBING THE LOCATION OF LYMPH NODES IN THE
    NECK
    SUBLEVEL DIVISION OF NECK LEVELS
    2001 Report of the American Head and Neck Society’s Neck
    Dissection Committee
    Per structure/region
    • Neck
    – Integrated as “filtering stations”
    – Receive almost all parts of head and neck region
    – Left side, drains into junction of left subclavian and
    internal jugular veins at the left thoracic duct
    – Right side, drains into junction of the right
    subclavian and internal jugular veins at right
    thoracic duct
    – Includes lymphatic organs of nasopharynx and
    oropharynx
    – Normal nodes are neither visible nor palpable
    Per structure/region
    • Esophagus
    – Posterior mediastinum and pulmonary hilum
    • Face and external nose
    – Mainly submandibular lymph nodes
    • Nasal cavity
    – Retropharyngeal and deep cervical
    Per structure/region
    • Larynx
    – Subdivided anatomically into supraglottic, glottic,
    and subglottic
    – More numerous above the glottis
    • Supraglottic- deep cervical lymph nodes
    » Ipsilateral drainage complemented by
    contralateral drainage
    • Glottic – sparse
    • Subglottic –deep cervical lymph nodes
    » With connections to peritracheal and mediastinal
    nodes
    » Ipsilateral and contralateral drainage
    Per structure/region
    • Lips
    – Submandibular and submental lymph nodes
    • Tongue and oral floor
    – Ipsilateral and contralateral submandibular and
    submental nodes which drain to lymph nodes at
    junction of the facial and internal jugular veins
    • Parotid gland
    – Intraglandular and periglandular nodes to
    submandibular and deep jugular nodal chains
    Per structure/region
    • Submandibular gland
    – Lymph nodes in the lateral and posteroinferior
    portion of the gland
    • Pharynx
    – Upper portion: retropharyngeal nodes
    – Lower portion: parapharyngeal or deep cervical
    nodes
    Lymphatic Drainage of External Areas of the Head and Neck
    Lymphatic Drainage from Internal Areas of the Head and Neck
    DRAINAGE PATTERNS
    1. SUBMENTAL – floor of the mouth, anterior oral
    tongue, anterior mandibular ridge and lower lip

    2. SUBMANDIBULAR – oral cavity, anterior nasal cavity,


    soft-tissue structures of the midface, submandibular
    gland

    3. UPPER JUGULAR – oral cavity, nasal cavity,


    nasopharynx, hypopharynx, larynx, parotid gland

    4. MIDDLE JUGULAR – oral cavity, nasopharynx,


    hypopharynx, oropharynx and larynx, cervical
    esophagus
    DRAINAGE PATTERNS

    6. POSTERIOR TRIANGLE GROUP – nasopharynx,


    oropharynx, cutaneous structures of the posterior scalp
    and neck

    7. ANTERIOR COMPARTMENT – thyroid gland, glottic and


    subglottic larynx, apex of the pyriform sinus and cervical
    esophagus
    WORK-UP OF ASYMMETRIC, UNILATERAL NODAL
    NECK MASS

    1. COMPLETE REPEATED P.E. OF:


    ORAL CAVITY, NASOPHARYNX, HYPOPHARYNX, LARYNX,
    THYROID, SALIVARY GLANDS, SKIN OF THE NECK

    2. NEEDLE BIOPSY
    3. IMAGING – CHEST, UPPER AERODIGESTIVE TRACT (+)

    4. PANENDOSCOPY WITH GUIDED BIOPSY BASED ON


    LOCATION OF THE NODAL MASS –NASOPHARYNX, BASE
    OF THE TONGUE

    5. OPEN BIOPSY OF THE CERVICAL MASS


    NECK DISSECTION
    THE END

    You might also like

    pFad - Phonifier reborn

    Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

    Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


    Alternative Proxies:

    Alternative Proxy

    pFad Proxy

    pFad v3 Proxy

    pFad v4 Proxy