kl anatomie+krk plz+eng - univerzita karlova · giemsa t1w t1w-gd t1w t1w t2w t1w-gd mri+fna-c:...
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![Page 1: Kl anatomie+krk PLZ+eng - Univerzita Karlova · Giemsa T1W T1W-Gd T1W T1W T2W T1W-Gd MRI+FNA-C: pleomorficadenomaofsmallsalivarygland M 17 years ancylostoma, painfor 1 month TE, -bleeding](https://reader033.vdocuments.us/reader033/viewer/2022050606/5fadaa4ed31fec18a30e5ab8/html5/thumbnails/1.jpg)
Clinical anatomy - neck
Jan Plzák
Department of Otorhinolaryngology and Headand Neck Surgery
Institute of Anatomy
1st Faculty of Medicine, Charles Univesity, Prague
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Head and necks squamous cancer
oropharynx, larynx, …
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Lymph node metastasis is the most important prognostic factor
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Classification of neck lymph nodes
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Neck dissection
Systematic removal of necklymph nodes (+ non-lymphatic structures: SMG, SCM, IJV, AN, etc)
Clearly defined anatomicalborders - compartments
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Classification of ND
Radical: I-V + SCM+IJV+N XI
Modified: I-V with preservation of non-lymphaticstructures (N XI, IJV, SCM)
Selective: preservation of some level
Extended: + resection of other non-lymphaticstructure
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R. MARGINALIS N. FACIALIS
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R. MARGINALIS N. FACIALIS
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N. HYPOGLOSSUS
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N. LINGUALIS
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PL. CERVICALIS
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V. JUGULARIS EXTERNA
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M. STERNOCLEIDOMASTOIDEUS
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V. JUGULARIS INTERNA
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N. ACCESSORIUS
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INFRAHYOID MUSCLES
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A. CAROTIS
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N. VAGUS
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PLEXUS CERVICALIS
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N. PHRENICUS
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DEEP CERVICAL MUSCLES
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DUCTUS THORACICUS
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TRUNCUS SYMPATHICUS
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PLEXUS BRACHIALISVASA TRANSVERSA COLLI
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TRACHEOTOMIA
- skin- subcutaneous tissue
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TRACHEOTOMIA
- fascia colli superficialis
- vv. jugulares anteriores- arcus venosus juguli
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TRACHEOTOMIA
- fascia colli media - mm. infrahyoidei/linea alba
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TRACHEOTOMIA
- isthmus gl. thyroideae/lobus pyramidalis
- vv. thyroideae inferiores- nodi lymphatici pretracheales- thymus- a. thyroidea ima
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ISTHMUS GL. THYROIDAEET LOBUS PYRAMIDALIS
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VV. THYROIDEAE
plexus thyroideus impar
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A. THYROIDEA IMA
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N. LARYNGEUS RECURRENS
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(Work and Hybels. Laryngoscope 1974;84:1748-1755.)
Parapharyngeal space
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Pre- and retrostyloid compartment
nasopharynx oropharynx
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MRI - Pleomorfic adenoma
T2WT1W T1WGD
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CT/MRI - Schwannoma
T1WGD
T1W
T2W
CT
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MRI - Paraganglioma
T1W T1W-Gd T2W
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Giemsa
T1W T1WT1W-Gd
T2W T1W-GdT1W
MRI+FNA-C:pleomorfic adenoma of small salivary gland
M 17 yearsancylostoma, pain for 1 month
TE, - bleeding
TO-TC APPROACH
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CCA
IJV
N XII
N XI
SMŽ
TO-TC APPROACH
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1
pleomorfic adenomaHE
TO-TC APPROACH