neck

General Surgery

Mosul university- College of dentistry-oral & maxillofacial surgery department
Dr. Ziad H. Delemi B.D.S, F.I.B.M.S (M.F.)
Neck lesions

Anatomy

Anterior Triangle : middle of the neck, the sternocleidomastoid muscle and lower border of the mandible -Submental triangle -Submandibular triangle -Carotid triangle -Muscular triangle Posterior Triangle: sternocleidomastoid, the anterior border of the trapezius, and the middle third of the clavicle -Occipital triangle -Subclavian triangle
Mosul university- College of dentistry-oral & maxillofacial surgery department

Anatomy

Mosul university- College of dentistry-oral & maxillofacial surgery department

Lymph Nodes

Mosul university- College of dentistry-oral & maxillofacial surgery department



Lymph Nodes
Level 1 contains the submental and submandibular nodes. Level 2 is the upper third of the jugular nodes medial to the SCM, and the inferior boundary is the plane of the hyoid bone (clinical) or the bifurcation of the carotid artery (surgical). Level 3 describes the middle jugular nodes and is bounded inferiorly by the plane of the cricoid cartilage (clinical) or the omohyoid (surgical).
Mosul university- College of dentistry-oral & maxillofacial surgery department

Lymph Nodes

Level 4 is defined superiorly by the omohyoid muscle and inferiorly by the clavicle. Level 5 contains the posterior cervical triangle nodes. Level 6 includes the paratracheal and pretracheal nodes.
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

KITTENS K: Congenital. Sebaceous cysts, branchial cyst, thyroglossal cyst, hemangioma, dermoid cyst pharyngeal pouch. I: Infectious &inflammatory. lymphadenitis T: Toxin. metals Lead, drugs Diphenylhydantoin T: Traumatic. Foreign body , aneurysm E: Endocrine. Thyroid disease, carotid body N: Neoplastic. Benign lipoma malignant lymphoma S: Systemic. AIDS , Kawasaki disease
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Single ant. Triangle post. Triangle Multiple Lymphadenopathy
Mosul university- College of dentistry-oral & maxillofacial surgery department



Neck lesions
Anterior triangle Move with swallowing cystic thyroglossal cyst thyroid isthmus thyroid enlargement solid L.N carotid body tumor

Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions
Anterior triangle Move with swallowing cystic thyroglossal cyst
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Anterior triangle Move with swallowing cystic thyroid enlargement Goiter
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Anterior triangle Move with swallowing cystic thyroid enlargement toxic goiter
Mosul university- College of dentistry-oral & maxillofacial surgery department



Neck lesions
Anterior triangle Move with swallowing solid carotid body tumor
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Not move with swallowing cystic abscess branchial cyst dermoid cyst lipoma sebaceous cyst sublingual dermoid ranula carotid aneurysm solid salivary gland enlargement ectopic thyroid nodule neurofibroma
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Not move with swallowing cystic Mycobacterium
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Not move with swallowing cystic dermoid cyst
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Not move with swallowing cystic ranula
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Not move with swallowing solid neurofibroma
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Posterior triangle cystic cystic hygroma subclavian art. Aneurysm pharyngeal pouch sebaceous cyst dermoid cyst lipoma solid L.N cervical rib clavicular tumors SCM tumors

Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions
Posterior triangle cystic cystic hygroma
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Posterior triangle cystic pharyngeal pouch
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Posterior triangle solid SCM tumor

Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions
Lymphadenopathy 1-Infective: a- bacterial dental, tonsil, face, scalp infections T.B syphilis cat scratch Lyme disease b- Viral herpetic stomatitis infectious mononucleosis HIV infection c-Parasitic toxoplasmosis d- Possible infection mucocautaneous LN syndrome (Kawasaki disease)
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Lymphadenopathy 1-Infective: Viral HIV infection
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Lymphadenopathy 1-Infective: bacterial cat scratch
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Lymphadenopathy 1-Infective: bacterial T.B
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

Lymphadenopathy 1-Infective: bacterial submandibular lymphadenitis

Mosul university- College of dentistry-oral & maxillofacial surgery department

Lymphadenopathy 1-Infective: Possible infection mucocautaneous LN syndrome (Kawasaki disease)
Neck lesions
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

2-Neoplastic primary Hodgkin disease Non- Hodgkin disease Leukemia (lymphocytic ) secondary ca. oral, salivary, nasopharyngeal malignant melanoma other mesenchymal tumors
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

2-Neoplastic primary Hodgkin disease
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

2-Neoplastic primary Non-Hodgkin disease
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

2-Neoplastic secondary metastases
Mosul university- College of dentistry-oral & maxillofacial surgery department

Neck lesions

3- Miscellaneous sarcoidosis drugs C.T disease
Mosul university- College of dentistry-oral & maxillofacial surgery department