Head/Neck Flashcards
Borders of submental triangle
Ant bellies of digastric, hyoid, symphysis menti
Most common parotid tumor
Pleomorphic adenoma
Poor surgical candidate, multifocal pleomorphic adenoma recurrence; tx
radiation
Exits the skull through the jugular foramen and innervates the SCN and trap in the post triangle of the neck
Spinal Accessory Nerve CNXI
Tracheal-innominate fistula risks during tracheotomy
Placement below third tracheal ring
Aberrant course
Excessively long or curved tube
Over hyperextended neck during procedure
Prolonged pressure on tracheal wall
Tracheal infection
Most common malignancy involving tongue
SCC
Pure motor nerve controls tongue protrusion
Hypoglossal
Innervates the cricothyroid muscle elevating pitch
External branch of the superior laryngeal
Indications for trach
Prolonged intubation, temporary airway protection, decreased discomfort
Lateral neck mass
Second branchial cleft cyst
Child with >2cm cervical lymphadenopathy; next step
CXR to look for mediastinal mass
Risks of cric
Vocal cord injury and subglottic stenosis
Anterior neck triangle boundaries and contents
Omohyoid, SCM and straps; Pharynx, thyroid, parathyroid
Carotid triangle boundaries and contents
SCM, post belly digastric, sup omohyoid; Carotids, IJ, hypoglossal and vagus nerve
Submental triangle floor and contents
Mylohyoid, submental lymph nodes