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Surgery > Head and Neck > Flashcards

Head and Neck Flashcards

1
Q

[branchial cleft anomalies]

preauricular area to middle ear

A

1st

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2
Q

[branchial cleft anomalies]

lateral neck at SCM to tonsillar fossa

A

2nd

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3
Q

[branchial cleft anomalies]

lateral neck at SCM to pyriform sinus

A

3rd

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4
Q

most common branchial cleft anomaly

A

2nd

complete excision

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5
Q

Sclerosing agent for cystic hygroma

A

bleomycin

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6
Q

[diagnosis]

submucosal
due to rupture of the ductal system
less than 1cm, smooth with bluish hue

A

mucous retention cyst

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7
Q

[diagnosis]

mucus retention cyst involving the sublingual gland

A

ranula

marsupialization

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8
Q

[diagnosis]

anterior maxilla, exaggerated inflammatory response, granulomatous

A

epulis

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9
Q

[diagnosis]

polypoid, can ulcerate, expansile endosteal lesion of the mandible

A

giant cell reparative granuloma

currettage (if bony origin)

excision (if peripheral)

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10
Q

also called abrikoss tumor

from schwann cell tumor

A

granular cell myoblastoma

wide excision

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11
Q

[diagnosis]

adolescent
highly expansile, destructive, epistaxis can be massive,

A

juvenile nasopharyngeal angiofibroma

angioembolization

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12
Q

[diagnosis]

arise from the true vocal cord
juvenile type, hoarseness

A

laryngeal papilloma

excision/laser ablation

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13
Q

[diagnosis]

herniation of the laryngeal ventricles due to chronic increase in intralaryngeal pressure

A

larygocoele

ligation of stalk and repair of ventricles

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14
Q

[diagnosis]

from progenitors of tooth development; involves the maxilla and the mandible

A

odontogenic tumor

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15
Q

[diagnosis]

from the dental lamina
impacted tooth
painless mandibular mass but can erode bone cortex

Xray: soap bubble

A

amenoblastoma

resection

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16
Q

[diagnosis]

Andy-Gump deformity

A

amenoblastoma (adamantinoma)

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17
Q

head and neck tumor staging

T2
N3
M0

means?

A

T2: >2 to 4 cm
N3: metastasis in a LN >6cm
M0: no distant mets

T1: <2cm
T3: >4cm

N1: <3cm
N2: <6cm

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18
Q

[cervical lymph node level]

submental/submandibular

A

level 1

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19
Q

[cervical lymph node level]

upper jugular

A

level 2

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20
Q

[cervical lymph node level]

mid jugular

A

level 3

21
Q

[cervical lymph node level]

lower jugular

A

level 4

22
Q

[cervical lymph node level]

suboccipital

A

level 5

23
Q

[cervical lymph node level]

Central

A

level 6

24
Q

[cervical lymph node level]

suprasternal

A

level 7

25
Q

[neck dissections]

removal of level I to 5 cervical LN, spinal accessory nerve, IJV, SCM

A

radical neck dissection

26
Q

[neck dissections]

removal of level 1 to 5 cervical LN

preserve spinal accessory nerve, IJV, SCM

A

modified radical neck dissection

27
Q

[selective neck dissection]

for oral cavity malignancy

A

supraomohyoid dissection (level 1, 2, 3)

28
Q

[selective neck dissection]

for laryngeal neck dissection

A

laryngeal malignancy

29
Q

[selective neck dissection]

for thyroid malignancies

A

posterolateral neck dissection

30
Q

[cancer of the tongue]

T1 to T2 treatment

A

partial glossectomy
supraomohyoid dissection if N0

or MRND if N+

31
Q

[cancer of the tongue]

with mandibular involvement

A

partial glossectomy
floor of the mouth
mandibulectomy

32
Q

[cancer of the base of the tongue]

treatment for early lesions

A

surgery + RT

bilateral neck dissection

33
Q

[cancer of the base of the tongue]

treatment for advanced lesons

A

total resection fo the base of the tongue with or without laryngectomy

34
Q

[cancer of the alveolus]

Panorex CT scan is used to demonstrate ___

A

gross cortical invasion

35
Q

[cancer of the alveolus]

MRI is used to check for ____

A

invasion of the medullary cavity

36
Q

[cancer of the hypopharangeal area]

surgery must not include these structures

A

apex of the pyriform sinus

vocal cords

37
Q

80% of the metastatatis neoplasm of unknown neck primary come from _____

A

above the clavicle

38
Q

the parapharyngeal space spans from the ___ to ___

A

skull base to hyoid

inverted pyramid

39
Q

this divides the parapharyngeal space into 2 compartments

A

styloid process

40
Q

salivary gland tumors are usually ___ (benign/malignant)

A

benign

41
Q

tumors arising in the sublingual gland are moslty ___ (benign/malignant)

A

malignant

parotid glands are usually benign

42
Q

most common benight epithelial tumor of the salivary glands

A

pleomorphic adenoma

43
Q

the second most common benign parotid gland tumor is

A

papillary cystadenoma

usually bilateral

44
Q

___is a triangle that points to the facial nerve. helpful in finding the facial nerve

A

external auditory canal cartilage

45
Q

what is the most common malignant salivary gland tumor

A

mucoepidermoid CA

46
Q

what is the second most common malignant salivary gland tumors which is common in adults

A

adenoid cystic CA

47
Q

what is the second most common malignant salivary gland tumor in children?

A

acinic cell CA

48
Q

facial nerve sacrifice can be done if ___

A

encased by the tumor

non-functional pre-operatively

Surgery (19 decks)

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