Head and Neck Flashcards
[branchial cleft anomalies]
preauricular area to middle ear
1st
[branchial cleft anomalies]
lateral neck at SCM to tonsillar fossa
2nd
[branchial cleft anomalies]
lateral neck at SCM to pyriform sinus
3rd
most common branchial cleft anomaly
2nd
complete excision
Sclerosing agent for cystic hygroma
bleomycin
[diagnosis]
submucosal
due to rupture of the ductal system
less than 1cm, smooth with bluish hue
mucous retention cyst
[diagnosis]
mucus retention cyst involving the sublingual gland
ranula
marsupialization
[diagnosis]
anterior maxilla, exaggerated inflammatory response, granulomatous
epulis
[diagnosis]
polypoid, can ulcerate, expansile endosteal lesion of the mandible
giant cell reparative granuloma
currettage (if bony origin)
excision (if peripheral)
also called abrikoss tumor
from schwann cell tumor
granular cell myoblastoma
wide excision
[diagnosis]
adolescent
highly expansile, destructive, epistaxis can be massive,
juvenile nasopharyngeal angiofibroma
angioembolization
[diagnosis]
arise from the true vocal cord
juvenile type, hoarseness
laryngeal papilloma
excision/laser ablation
[diagnosis]
herniation of the laryngeal ventricles due to chronic increase in intralaryngeal pressure
larygocoele
ligation of stalk and repair of ventricles
[diagnosis]
from progenitors of tooth development; involves the maxilla and the mandible
odontogenic tumor
[diagnosis]
from the dental lamina
impacted tooth
painless mandibular mass but can erode bone cortex
Xray: soap bubble
amenoblastoma
resection
[diagnosis]
Andy-Gump deformity
amenoblastoma (adamantinoma)
head and neck tumor staging
T2
N3
M0
means?
T2: >2 to 4 cm
N3: metastasis in a LN >6cm
M0: no distant mets
T1: <2cm
T3: >4cm
N1: <3cm
N2: <6cm
[cervical lymph node level]
submental/submandibular
level 1
[cervical lymph node level]
upper jugular
level 2
[cervical lymph node level]
mid jugular
level 3
[cervical lymph node level]
lower jugular
level 4
[cervical lymph node level]
suboccipital
level 5
[cervical lymph node level]
Central
level 6
[cervical lymph node level]
suprasternal
level 7
[neck dissections]
removal of level I to 5 cervical LN, spinal accessory nerve, IJV, SCM
radical neck dissection
[neck dissections]
removal of level 1 to 5 cervical LN
preserve spinal accessory nerve, IJV, SCM
modified radical neck dissection
[selective neck dissection]
for oral cavity malignancy
supraomohyoid dissection (level 1, 2, 3)
[selective neck dissection]
for laryngeal neck dissection
laryngeal malignancy
[selective neck dissection]
for thyroid malignancies
posterolateral neck dissection
[cancer of the tongue]
T1 to T2 treatment
partial glossectomy
supraomohyoid dissection if N0
or MRND if N+
[cancer of the tongue]
with mandibular involvement
partial glossectomy
floor of the mouth
mandibulectomy
[cancer of the base of the tongue]
treatment for early lesions
surgery + RT
bilateral neck dissection
[cancer of the base of the tongue]
treatment for advanced lesons
total resection fo the base of the tongue with or without laryngectomy
[cancer of the alveolus]
Panorex CT scan is used to demonstrate ___
gross cortical invasion
[cancer of the alveolus]
MRI is used to check for ____
invasion of the medullary cavity
[cancer of the hypopharangeal area]
surgery must not include these structures
apex of the pyriform sinus
vocal cords
80% of the metastatatis neoplasm of unknown neck primary come from _____
above the clavicle
the parapharyngeal space spans from the ___ to ___
skull base to hyoid
inverted pyramid
this divides the parapharyngeal space into 2 compartments
styloid process
salivary gland tumors are usually ___ (benign/malignant)
benign
tumors arising in the sublingual gland are moslty ___ (benign/malignant)
malignant
parotid glands are usually benign
most common benight epithelial tumor of the salivary glands
pleomorphic adenoma
the second most common benign parotid gland tumor is
papillary cystadenoma
usually bilateral
___is a triangle that points to the facial nerve. helpful in finding the facial nerve
external auditory canal cartilage
what is the most common malignant salivary gland tumor
mucoepidermoid CA
what is the second most common malignant salivary gland tumors which is common in adults
adenoid cystic CA
what is the second most common malignant salivary gland tumor in children?
acinic cell CA
facial nerve sacrifice can be done if ___
encased by the tumor
non-functional pre-operatively
