Modified Radical Neck Dissection
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Modified Radical Neck Dissection

This Modified Radical Neck Dissection course will teach you:

  • To dissect the level 1-5 lymph nodes of the neck of metastatic cancers of the upper aerodigestive tract (squamous cell cancer), the skin of the head and neck area (melanoma), the thyroid, and the salivary glands.
  • A neck dissection is indicated in N1 – N3 disease. The extent of the neck dissection is performed according to the location and the extent of the metastatic disease

Special attention is paid to the following hazards you may encounter during  the Modified Radical Neck Dissection:

  • Carotid artery exposure
  • Marginal mandibular nerve injury
  • Marginal mandibular branch injury
  • Superior thyroid artery injury
  • Thoracic duct injury
  • Accessory nerve injury

With the following tips you might perform the Modified Radical Neck Dissection even better:

  • Skin flap survival
  • Nerve point of neck identification
  • Tracheotomy positioning
  • Marginal mandibular nerve preservation
  • Submandibular gland anatomy
  • Cervical plexus preservation
  • Accessory nerve identification

After studying this Modified Radical Neck Dissection course you are familiar with the most common complications:

  • Skin flap necrosis
  • Airway obstruction
  • Chyle leak

Injury to the following nerves:

  • Ansa cervicalis nerve
  • Marginal mandibular nerve
  • Vagus nerve
  • Lingual nerve
  • Hypoglossal nerve
  • Brachial plexus
  • Spinal accessory nerve
  • Phrenic nerve

You might also be interested in:

Open Thyroidectomy

Step by step

Neck lymph nodes exposure

Skin

Mark

Mark a T-incision in the skin, start horizontally from the chin in a curved line over the neck to the mastoid process. Then the vertical starting point of the T-incision is marked, from the mandibular angle down ending mid-clavicular.

Carotid artery exposure

If a T-incision is used extra care should be taken for the carotid artery underneath the trifurcation of the incision. In case of flap necrosis or skin loss the underlying carotid artery may become exposed. This is most important if the malignancy was treated with chemoradiation.

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