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A D V E R T I S E M E N T | |||||
Radical Neck Dissection for Tonsillar Carcinoma Images |
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Mark-Up |
Description / Link to Frame |
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CT scan of cervical adenopathy. |
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CT scan (adenopathy shaded). |
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Pre-operative laryngoscopy. |
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Setup. |
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Schobinger incision. |
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Epinephrine injection. |
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Skin incision. |
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Platysma incised. |
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External jugular vein. |
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Vertical limb of incision. |
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Cervical plexus branches. |
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Flaps. |
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Posterior flap. |
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Sternocleidomastoid. |
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Deep cervical fascia. |
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Internal jugular vein. |
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Sternocleidomastoid. |
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SCM divided. |
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Omohyoid muscle. |
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Nodes palpated. |
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Omohyoid divided. |
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Omohyoid retracted. |
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Carotid sheath. |
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Carotid sheath opened. |
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Internal jugular vein exposed. |
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Middle thyroid vein. |
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Middle thyroid divided. |
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Isolating internal jugular vein. |
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Internal jugular isolated. |
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Carotid and vagus. |
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Internal jugular ligated. |
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Second ligature. |
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Suture ligature. |
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Internal jugular divided. |
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Lower end of dissection. |
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Nodal dissection. |
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Thoracic duct. |
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Lymph nodes mobilized. |
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Lower end of external jugular vein. |
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Mobilized nodes. |
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Phrenic nerve and brachial plexus. |
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Anterior dissection. |
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Lower end. |
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Posterior deep fascia. |
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Posterior dissection. |
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Anatomy. |
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Partial dissection. |
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Dissection continued. |
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Carotid bulb. |
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Carotid bulb close-up. |
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Submandibular triangle. |
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Submandibular gland. |
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External facial vessels. |
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Submaxillary gland. |
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Lingual nerve. |
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Distal external jugular. |
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Distal external jugular vein divided. |
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Upper border. |
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Upper border division. |
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Marking. |
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Specimen excised. |
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Final dissection. |
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Close-up of dissection bed. |
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Hypoglossal nerve. |
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Lower end checked. |
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Margins palpated. |
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Flaps. |
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Drain. |
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Graft. |
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First strip. |
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Second pass. |
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Dermal graft harvested. |
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Dermal graft detached. |
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Superficial layer. |
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Dressing. |
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Graft placed. |
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Graft positioned. |
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Graft in place. |
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Tacking sutures. |
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Close-up of graft. |
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This page was last modified on 5/6/2003. A D V E R T I S E M E N T
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