SlideShare une entreprise Scribd logo
1  sur  45
Télécharger pour lire hors ligne
Neck Dissections: Classifications, Indications, and Techniques Dr Kuljinder Sodhi
INTRODUCTION ,[object Object],[object Object],[object Object],[object Object]
SURGICAL ANATOMY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Muscles of the neck ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Omohyoid muscle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TRAPEZIUS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIGASTRIC MUSCLE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MARGINAL MANDIBULAR NERVE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SPINAL ACCESSORY N. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PHRENIC NERVE ,[object Object],[object Object],[object Object],[object Object],[object Object]
HYPOGLOSSAL N. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
STAGING OF THE NECK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NODAL STAGE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LYMPH NODE LEVELS
Patterns of lymphatic metastasis are as follows: ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Nodal metastasis
Classification of Neck Dissections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medina classification (1989) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RADICAL NECK DISSECTION ,[object Object],[object Object],[object Object]
Modified Radical Neck Dissection (MRND) ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
MRND Type I ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MRND Type II ,[object Object],[object Object],[object Object],[object Object]
MRND III ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Selective Neck Dissections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SELECTIVE NECK DISSECTION ,[object Object],[object Object],[object Object],[object Object],[object Object]
SND: Supraomohyoid type ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bilateral SOHND ,[object Object],[object Object],[object Object],[object Object],SND: Lateral Type •  Definition –  En bloc removal of the jugular lymph nodes including Levels II-IV
SND: Lateral Type ,[object Object],[object Object],[object Object],[object Object]
SND: Posterolateral Type ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SND: Anterior Compartment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Extended Neck Dissection ,[object Object],[object Object],[object Object],[object Object],[object Object]
Incisions
Apron incision  Half apron
Conley’s  Double-Y
H incision  Macfee
Y incision  Modified schobinger ,[object Object]
Steps ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]

Contenu connexe

Tendances (20)

MAXILLECTOMY
MAXILLECTOMYMAXILLECTOMY
MAXILLECTOMY
 
Neck Dissections
Neck Dissections Neck Dissections
Neck Dissections
 
lip reconstruction
 lip reconstruction lip reconstruction
lip reconstruction
 
Pedicled flaps in head and neck surgery
Pedicled flaps in head and neck surgeryPedicled flaps in head and neck surgery
Pedicled flaps in head and neck surgery
 
Weber ferguson incison (poster)
Weber ferguson incison (poster)Weber ferguson incison (poster)
Weber ferguson incison (poster)
 
7. neck dissection(87) Dr. RAHUL TIWARI
7. neck dissection(87) Dr. RAHUL TIWARI7. neck dissection(87) Dr. RAHUL TIWARI
7. neck dissection(87) Dr. RAHUL TIWARI
 
Neck Dissection.Overview
Neck Dissection.OverviewNeck Dissection.Overview
Neck Dissection.Overview
 
Neck dissection
Neck dissectionNeck dissection
Neck dissection
 
Reconstruction of maxilla
Reconstruction of maxillaReconstruction of maxilla
Reconstruction of maxilla
 
Neck dissections
Neck dissectionsNeck dissections
Neck dissections
 
Radical neck dissection
Radical neck dissectionRadical neck dissection
Radical neck dissection
 
Local and regional flaps in head and neck reconstruction
Local and regional flaps in head and neck reconstructionLocal and regional flaps in head and neck reconstruction
Local and regional flaps in head and neck reconstruction
 
Pectoralis major flap
Pectoralis major flapPectoralis major flap
Pectoralis major flap
 
Mandibular reconstruction
Mandibular reconstruction Mandibular reconstruction
Mandibular reconstruction
 
Maxillectomy & Rehabilitation
Maxillectomy & RehabilitationMaxillectomy & Rehabilitation
Maxillectomy & Rehabilitation
 
Neck dissection
Neck dissectionNeck dissection
Neck dissection
 
Lip n cheek recons
Lip n cheek reconsLip n cheek recons
Lip n cheek recons
 
Facial nerve injury and reanimation
Facial nerve injury and reanimationFacial nerve injury and reanimation
Facial nerve injury and reanimation
 
Submental island flap
Submental island flap   Submental island flap
Submental island flap
 
Maxillectomy and craniofacial resection
Maxillectomy and craniofacial resection Maxillectomy and craniofacial resection
Maxillectomy and craniofacial resection
 

Similaire à Neck Dissections

Overview Of Neck Dissections
Overview Of Neck DissectionsOverview Of Neck Dissections
Overview Of Neck DissectionsSaeed Al-Shomimi
 
Neck dissection
Neck dissectionNeck dissection
Neck dissectionRam Yadav
 
Metastatic neck disease
Metastatic neck disease Metastatic neck disease
Metastatic neck disease Ibrahim Habib
 
Occult primary mangmnt
Occult primary mangmntOccult primary mangmnt
Occult primary mangmntMd Roohia
 
Nasopharyngeal cancer
Nasopharyngeal cancerNasopharyngeal cancer
Nasopharyngeal cancerDeepika Malik
 
NECK DISSECTION- A COMPREHENSIVE STUDY
NECK DISSECTION- A COMPREHENSIVE STUDYNECK DISSECTION- A COMPREHENSIVE STUDY
NECK DISSECTION- A COMPREHENSIVE STUDYPriyanko Chakraborty
 
ANATOMY OF NECK.pptx
ANATOMY OF NECK.pptxANATOMY OF NECK.pptx
ANATOMY OF NECK.pptxaasthamoza
 
CT procedure of neck
CT procedure of neckCT procedure of neck
CT procedure of neckSabitaMandal1
 
Rnd gaurav (nx power-lite) /certified fixed orthodontic courses by Indian d...
Rnd   gaurav (nx power-lite) /certified fixed orthodontic courses by Indian d...Rnd   gaurav (nx power-lite) /certified fixed orthodontic courses by Indian d...
Rnd gaurav (nx power-lite) /certified fixed orthodontic courses by Indian d...Indian dental academy
 

Similaire à Neck Dissections (20)

Neck dissection
Neck dissectionNeck dissection
Neck dissection
 
Overview Of Neck Dissections
Overview Of Neck DissectionsOverview Of Neck Dissections
Overview Of Neck Dissections
 
Neck dissection
Neck dissectionNeck dissection
Neck dissection
 
Neck Dissection
Neck DissectionNeck Dissection
Neck Dissection
 
Carcinoma Nasopharynx
Carcinoma NasopharynxCarcinoma Nasopharynx
Carcinoma Nasopharynx
 
METASTATIC NECK DISEASE.pptx
METASTATIC NECK DISEASE.pptxMETASTATIC NECK DISEASE.pptx
METASTATIC NECK DISEASE.pptx
 
Neck dissection
Neck dissectionNeck dissection
Neck dissection
 
Neck dissections
Neck dissectionsNeck dissections
Neck dissections
 
Metastatic neck disease
Metastatic neck disease Metastatic neck disease
Metastatic neck disease
 
Radical Neck Dissection
Radical Neck DissectionRadical Neck Dissection
Radical Neck Dissection
 
Surgical anatomy of neck
Surgical anatomy of neckSurgical anatomy of neck
Surgical anatomy of neck
 
Occult primary mangmnt
Occult primary mangmntOccult primary mangmnt
Occult primary mangmnt
 
Nasopharyngeal cancer
Nasopharyngeal cancerNasopharyngeal cancer
Nasopharyngeal cancer
 
NECK DISSECTION- A COMPREHENSIVE STUDY
NECK DISSECTION- A COMPREHENSIVE STUDYNECK DISSECTION- A COMPREHENSIVE STUDY
NECK DISSECTION- A COMPREHENSIVE STUDY
 
C:Neck Dissection
C:Neck DissectionC:Neck Dissection
C:Neck Dissection
 
ANATOMY OF NECK.pptx
ANATOMY OF NECK.pptxANATOMY OF NECK.pptx
ANATOMY OF NECK.pptx
 
CT procedure of neck
CT procedure of neckCT procedure of neck
CT procedure of neck
 
Neck dissections
Neck dissectionsNeck dissections
Neck dissections
 
Lymphatic drainage of head and neck
Lymphatic drainage of head and neckLymphatic drainage of head and neck
Lymphatic drainage of head and neck
 
Rnd gaurav (nx power-lite) /certified fixed orthodontic courses by Indian d...
Rnd   gaurav (nx power-lite) /certified fixed orthodontic courses by Indian d...Rnd   gaurav (nx power-lite) /certified fixed orthodontic courses by Indian d...
Rnd gaurav (nx power-lite) /certified fixed orthodontic courses by Indian d...
 

Dernier

CCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdfCCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdfMyThaoAiDoan
 
Basic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfBasic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfDivya Kanojiya
 
Plant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdfPlant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdfDivya Kanojiya
 
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamAkebom Gebremichael
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxDr. Dheeraj Kumar
 
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...sdateam0
 
SHOCK (Medical SURGICAL BASED EDITION)).pptx
SHOCK (Medical SURGICAL BASED EDITION)).pptxSHOCK (Medical SURGICAL BASED EDITION)).pptx
SHOCK (Medical SURGICAL BASED EDITION)).pptxAbhishek943418
 
HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of: N...
HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of:  N...HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of:  N...
HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of: N...Divya Kanojiya
 
Informed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptxInformed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptxSasikiranMarri
 
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranMusic Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranTara Rajendran
 
Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPrerana Jadhav
 
Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Mohamed Rizk Khodair
 
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
COVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptxCOVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptx
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptxBibekananda shah
 
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSapna Thakur
 
LESSON PLAN ON fever.pdf child health nursing
LESSON PLAN ON fever.pdf child health nursingLESSON PLAN ON fever.pdf child health nursing
LESSON PLAN ON fever.pdf child health nursingSakthi Kathiravan
 
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptxMohamed Rizk Khodair
 
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurMETHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurNavdeep Kaur
 
Measurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptxMeasurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptxDr. Dheeraj Kumar
 
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand UniversityCEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand UniversityHarshChauhan475104
 

Dernier (20)

CCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdfCCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdf
 
Basic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfBasic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdf
 
Plant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdfPlant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdf
 
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptx
 
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
 
SHOCK (Medical SURGICAL BASED EDITION)).pptx
SHOCK (Medical SURGICAL BASED EDITION)).pptxSHOCK (Medical SURGICAL BASED EDITION)).pptx
SHOCK (Medical SURGICAL BASED EDITION)).pptx
 
HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of: N...
HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of:  N...HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of:  N...
HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of: N...
 
Informed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptxInformed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptx
 
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranMusic Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
 
Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous System
 
Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)
 
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
COVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptxCOVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptx
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
 
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
 
LESSON PLAN ON fever.pdf child health nursing
LESSON PLAN ON fever.pdf child health nursingLESSON PLAN ON fever.pdf child health nursing
LESSON PLAN ON fever.pdf child health nursing
 
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptx
 
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurMETHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
 
Measurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptxMeasurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptx
 
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand UniversityCEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
 

Neck Dissections