The Neck Dissection Manual

Complete dissection of the accessory nerve.- Identification of the digastric muscle and internal jugular vein.- Dissection of level 2b.- Identification of the marginal ramus of the facial nerve.- Identification of the anterior belly of the digastric muscle.- Dissection of the tissue along the mandible and ligation of the facial artery and vein.- Identification and dissection of the mylohyoid muscle.- Identification of the lingual nerve.- Identification and litigation of the submandibular duct.- Identification of the hypoglossal nerve.- Finalization of level I dissection.- Identification of the internal jugular vein above the clavicle.- Identification of the vagus and phrenic nerves.- Definition of the inferior and deep border.- Horizontal dissection above the clavicle.- Identification of the brachial plexus.- Dissection of lymphoid tissue from lateral to medial part I.- Dissection of lymphoid tissue from lateral to medial part II.- Dissection of lymphoid tissue from lateral to medial part III.- Dissection of lymphoid tissue from lateral to medial part IV.- En bloc removal of specimen.- Irrigation and Hemostasis.- Insertion of suction drains.- Wound closure in multiple layers.- Part 3 Radical Neck Dissection.- Skin incision and dissection of the platysma.- Elevation of cranial and caudal subplatysmal flap.- Identification of the trapezius muscle.- Resection of the cranial insertion of the SCM muscle.- Resection of the caudal insertion of the SCM muscle.- Identification and ligation of the internal jugular vein cranially.- Identification and ligation of the internal jugular vein caudally.- Identification of the marginal ramus of the facial nerve.- Identification of the anterior belly of the digastric muscle.- Dissection of the tissue adjacent to the mandible in the facial artery and vein.- Identification and dissection of the mylohyoid muscle.- Identification of the lingual nerve.- Identification and ligation of the submandibular duct.- Identification of the hypoglossal nerve.- Finalization of level I dissection.- Definition of the inferior and deep border.- Horizontal dissection above the clavicle.- Dissection of lymphoid tissue from lateral to medial part I.- Dissection of lymphoid tissue from lateral to medial part II.- Dissection of lymphoid tissue from lateral to medial part III.- En bloc removal of specimen.- Rinsing and coagulation.- Insertion of suction drainage.- Wound closure in three layer.- References.