-
post triangle contains
- brachial plexus
- spinal accessory nerve
-
mandibular nerve provides what sensation
- taste ant 2/3
- floor of mouth and gingiva
-
branches of facial
- zygomatic
- buccal
- temporal
- marginal mandibular
- cervical
-
where can the facial nerve be found
upper 1/2 of mastoid adn tympanomastoid fissure
-
glossopharyngeal nerve provides motor fibers to
stylopharyngeus and pharynx
-
muscle of tongue not innervated by hypoglossal
palatoglossus
-
injury of what nerve causes Frey's
auriculotemporal
-
branches of thyrocervical trunk
- transverse cervical
- inferior thyroid
- ascending cervical
- suprascapular
-
trapezius flap is based upon what artery
transverse cervical
-
pec major flap based upon what aa
thoracoacromial
-
what primary cancers can metastasize to a cervical LN
- most common squamous
- ENT
- Lung
- Esophagus
- thyroid/parathyroid
- melanoma
- breast
- gastric
-
squamous cell ca in neck lymph node with unknown primary
MRND and ipsilaterally tonsillectomy followed by bilateral XRT
-
MC site of oral cavity ca
lower lip
-
division of ant and posterior oral cavity demarcated by
- tonsilar pillars
- junction between hard and soft palates
- tongue papilla
-
ant oral cavity ca goes where
- submental and submandibular
- except for tongue
-
post oral cavity ca go where
neck- levels II III-IV
-
nasopharygeal SCCA is different from other oral cancers in that
it is very responsive to xrt
-
margins for oral cavity cancers
1cm except 2cm for tongue
-
treatment of stage I and II ant tumors
- resection with supraomohyoid LND
- tongue gets extended supraomohyoid LND
- <3mm or alveolus, hard palate and lip do not get proph LND
-
tx stage I and II post tumors
xrt only
-
tx nasopharyngeal CA
stage I and II- chemo/xrt with xrt to neck nodes
-
tx stage III ant and post oral ca
- resection
- LND
- post op chemo XRT
-
LND in stage III oral ca
- N-0 ant just supraomohyoid
- N-0 post anterolateral LND unless crosses midline or hypopharynx
- N-1 MRND
-
chemo for nasopharyngeal
5-FU and cisplatin
-
levels in anterolateral LND
II, II, IV
-
when resecting a lip cancer when is a flap needed
when >1/3 of lip is resected
-
tx of verrucous ulcer
found on cheek, need to resect +/- flap but no LND
-
mc tumor of nasopharynx in children
lymphoma
-
tx of nasopharyngeal angiofibroma
angio embolization followed by resection
-
when does laryngeal ca need bilateral xrt of neck
if it crosses midline
-
tx stage III laryngeal Ca
MRND with ipsilateral thyroid in addition to chemo-xrt
-
ddx of malignant parotid tumor
- mucoepidermoid
- adenoid cystic
- lympohma
- melanoma
-
benign tumors of parotid
- pleomorphic adenoma
- warthins
-
parotid tumors metastasize where
lung
-
tx of malignant parotid tumor
- total parotidectomy
- proph MRND
- post op XRT
- if low grade mucoepidermoid just total parotid
-
warthin tumors are also called
papillary cystadenoma lymphomatosum
-
mc injured nerve with parotidectomy
greater auricular
-
tx of parotid tumor pushing tonsil and extending into pharygeal space
median mandibulotomy
-
mc salivary gland tumor in children
hemangioma
-
mc site of glomus tumors
tip of digits
-
what pts can be observed with MRIs who have acoustic neuroma
>70 and fairly asx
-
branchial cleft cyst very often associated with facial nerve
1st
-
3rd branchial cleft cyst emerges where
pyriform sinus
-
tx of ameloblastoma
resection
-
tx of sialoadnitis
incise duct and remove stone
-
tx of parapharyngeal absess
drain through lateral neck with incision on ant border of scm
-
mcc of ludwigs
dental infection of mandibular teeth
-
mc organism of ludwigs
actinomyces
-
tx of cleft lip
millard procedure at 10 weeks, 10 pounds, Hg of 10
-
tx of cleft palate
- temporarily place palatal obturator
- repair at 12 months using Latham appliance
-
MC organism in mastoiditis
strep pneumo
-
tx of mastoiditis
- abxs
- myringotomy or tympanostomy tube
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