Head And Neck Flashcards
Rule of 7 for evaluating neck mass
7 days: inflammatory
7months: neoplastic
7 years; congenital
Most common branchial cleft anomaly
2nd branchial cleft
External opening: lateral neck at Scm
Internal opening: tonsillar fossa
Tx for thyroglossal duct cyst
SISTRUNK PROCEDURE
Tx for branchial cleft anomaly
Complete excision
Painless mandibular mass with radiographic characteristic: “SOAP BUBBLE”
AMELOBLASTOMA (ADAMANTINOMA)
Tx: excision or resection with 1 to 2 cm normal mandible
Structures removed during radical neck dissection
Cervical lymphatics 1 to 5 3 non lympathic structure *IJV *SCM *SPINAL ACCESSORY NERVE
Most common benign salivary gland tumor
Pleomorphinc adenoma 80%
2nd most common tumor children and adult salivary gland
Children: acinic cell ca
Adult: adenoid cystic ca
Structures removed in modified radical neck dissection
CLN 1 TO 5
Structures removed in posterolateral neck dissection in thyroid malignancie
CLN 2,3,4 AND 5
Half life of iodine 123
12 to 14 hours
Half life of iodine 131
8 to 10 days
Useful for monitoring of thyroid cancer recurrence
Serum THYROGLOBULIN
Sensitivie marker for MEDULLARY THYROID CA
Serum calcitonin
Thyroid function test that reflects the output from thyroid gland
Total T4