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





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

 

Radical Neck Dissection for Tonsillar Carcinoma: 1

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

   
 

A 54-year-old man presented with a left neck mass (see differential diagnosis of neck masses). He was found to have a left tonsillar carcinoma which had positive margins when surgically excised. He then underwent chemoradiation treatment with resolution of the area of the primary lesion. Three months after his initial presentation he was taken to the operating room for a left radical neck dissection to address the residual left cervical adenopathy, seen here on pre-op CT scan. Adenopathy extended from the root of the neck up the angle of the mandible.     

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Radical Neck Dissection for Tonsillar Carcinoma: 2

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

   
 

Pre-operative rigid laryngoscopy was performed and the left tonsilar fossa appeared soft and free of disease. The rest of the examination was also normal.       

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Radical Neck Dissection for Tonsillar Carcinoma: 3

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

   
 

The patient was placed in semi-fowler’s position with the head turned to the right and the left thigh prepped for a dermal skin graft to cover the carotid artery at the end of the procedure.       

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This page was last modified on 5/6/2003.