By Marco Lucioni
This brilliantly illustrated guide is a street map for the general practitioner who needs to accomplish a dissection workout at the neck within the anatomic theatre. It publications the reader step-by-step during the cervical buildings, the purpose being to enhance his/her technical talents in surgical perform within the working room. This booklet is split into sections, starting with the main superficial constructions, after which progressing to the private planes. The constructions warranting the main surgical-anatomic realization and curiosity are pointed out. nearby ''visits'' are supported through concise, reader-friendly connection with common human anatomy, body structure, functional symptoms, and pointers on working innovations. distinct recognition is given to oncological issues of the neck, as this is often the normal curiosity of the writer. noticeable demonstration of the proposed dissection workout is obtainable at the accompanying video DVD. This consultant bargains helpful aid to all surgeons for the identity of suitable and important anatomical neck constructions, and consequently is helping to enhance surgical talents and keep away from surgical issues.
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Additional resources for Practical Guide to Neck Dissection
8 Locating the facial trunk (II) Fig. 2 Dissection of union between the lower third and upper two thirds of the medial wall of the gland. 6. The glossopharyngeal nerve. The glossopharyngeal nerve is a mixed nerve since it contains motor fibers for the superior constrictor muscles of the pharynx and stylopharyngeus, parasympathetic pregangliar fibers for secretory innervation of the parotid (tympanic nerve → otic ganglion → mandibular nerve → auriculotemporal nerve), and sensory fibers (sensory innervation of the middle ear and pharynx; sensory innervation of taste buds in the area immediately anteriorly and posteriorly to the lingual “V”).
2. On entry to the trapezius, about 2 cm above the point where this muscle and the inferior belly of the omohyoid muscle cross. The second approach is the more practical because neck dissection is normally performed from bottom upward and from back to front. First, we must identify the anterior margin of the trapezius just beneath the skin. The nerve, which penetrates the muscle medially at its anterior margin, is thus more easily protected. Here we shall identify the cervical branch for the trapezius and, after that, the distal portion of the transverse pedicle of the neck.
Clinically speaking, a clavicular “pseudotumor” is presented, which, at first sight, may lead to the suspicion of metastases at level IV or secondary bone localization. 4 The medial surface of the trapezius is freed from the overlying loose connective tis sue until, at the top and on a deeper plane, the levator scapulae muscle and the scalene muscles are revealed, covered by the deep cer vical fascia (level VA). On the levator scapulae muscle the lesser occipital nerve can be iden tified, another cutaneous branch of the cervi cal plexus (Fig.