ABSITE ch 19 head and neck.txt

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alshada
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ABSITE ch 19 head and neck.txt
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2010-01-11 11:01:20
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head and neck ABSITE
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ABSITE ch 19 head and neck
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  1. Anterior triangle of neck
    SCM, sternal notch, inferior border of digastric
  2. Posterior triangle of neck
    SCM, trapezius, clavicle
  3. Contents of anterior triangle of neck
    Carotid sheath
  4. Contents of posterior triangle of neck
    Spinal accessory, brachial plexus
  5. Location of phrenic nerve
    Anterior scalene muscle
  6. Location of vagus nerve in neck
    Between IJ and carotid artery
  7. Branches of trigeminal nerve
    Ophthalmic, maxillary, mandibular
  8. Innervation of V2 mandibular branch
    Taste to anterior 2/3 of tongue, floor of mouth, gingival
  9. Innervation of facial nerve
    Motor to face
  10. Branches of facial nerve (TZBMC)
    Temporal, zygomatic, buccal, marginal mandibular, cervical
  11. Innervation of glossopharyngeal nerve
    Motor to stylopharyngeus, sensory to post. Tongue
  12. Innervation of hypoglossal nerve
    Motor to tongue ex: palatoglossus
  13. Innervation of recurrent laryngeal nerve
    All of larynx ex: cricothyroid
  14. Innervation of superior laryngeal nerve
    Cricothyroid
  15. Injury of auriculotemporal nerve after parotidectomy, causing gustatory sweating
    Frey�s syndrome
  16. Branches of thyrocervical trunk
    Suprascapular, transverse cervical, ascending cervical, inferior thyroid
  17. 1st branch of external carotid artery
    superior thyroid
  18. blood supply of trapezius flap
    transverse cervical artery
  19. blood supply of pectoralis flap
    thoracoacromial artery
  20. congenital bony mass on upper palate
    torus palatine
  21. congenital bony mass on anterior lingual surface of mandible
    torus mandibular
  22. structures sacrificed during radical neck dissection (8)
    CN XI, SCM, IJ, omohyoid, submandibular gland, sensory nerves C2-C5, cervical branch of facial nerve, ipsilateral thyroid
  23. Most common cancer of oral cavity, pharynx, and larynx
    SCCA
  24. Most common site for oral cavity cancer
    Lower lip
  25. Nodal site of first metastasis of oral cancers
    Submental and submandibular (although rare overall)
  26. Hardest oral cavity cancers to resect
    Palate
  27. Treatment of oral cavity cancers
    Excision, MRND (if >2cm), postop XRT (>2cm, positive margins, neurolymphovascular invasion)
  28. Nonaggressive well-differentiated tumor of cheek
    Verrucous ulcer
  29. Nodal drainage of nasopharyngeal cancers
    Deep cervical nodes
  30. Treatment of nasopharyngeal SCCA
    XRT, MRND if >2cm, chemo if advanced
  31. Most common benign neoplasm of nose/paranasal sinuses AND of larynx
    Papilloma
  32. Nodal drainage of oropharyngeal SCCA
    Deep cervical nodes
  33. Treatment of tonsillar CA
    XRT (tonsillectomy for biopsy)
  34. SCCA whose first symptom is hoarseness
    Hypopharyngeal
  35. Benign tumor often presenting with obstruction or epistaxis in males <20yrs
    Nasopharyngeal angiofibroma
  36. Treatment of angiofibroma
    Angiographic embolization, then resection
  37. Nodal drainage of supraglottic cancer
    Submental/submandibular
  38. Nodal drainage of glottic AND subglottic cancer
    Anterior cervical chain
  39. Treatments of laryngeal cancer
    XRT or conservative surgery (if small), laryngectomy, MRND, postop XRT (if large)
  40. Most common malignant tumor of salivary glands
    Mucoepidermoid
  41. Second most common malignant tumor of salivary glands (#1 in minor glands)
    Adenoid systic CA
  42. Treatment for salivary gland tumors
    Resection, MRND, postop XRT
  43. Most common benign tumor of salivary glands
    Pleomorphic adenoma
  44. Second most common tumor of salivary glands
    Warthin�s tumor
  45. Most common injured nerve in parotid surgery
    Greater auricular nerve
  46. Most common salivary gland tumor in children
    Hemangioma
  47. Undrained ear hematomas that organized and calcify
    Cauliflower ear
  48. Vascular tumor of middle ear
    Chemodectoma
  49. CNVIII tumors; can grow into cerebellar/pontine angle
    Acoustic neuroma
  50. Epidermal inclusion cyst of ear; erode structures as they grow causing hearing defect
    Cholesteatoma
  51. Nodal metastasis of ear cancers
    Parotid glands
  52. Most common childhood aural malignancy of middle or external ear
    Rhabdomyosarcoma
  53. Complications of septal hematoma
    Infection, necrosis of septum
  54. Treatment of posterior epistaxis
    Packing/balloon, then internal maxillary artery or ethmoid artery ligation
  55. Slow-growing neck/jaw malignancy with �soap bubble� appearance on x-ray
    Amelioblastoma
  56. Consequence of ligation of stenson�s duct
    Painful parotid atrophy and facial asymmetry
  57. Treatment of supperative parotitis
    Fluids, salivation, antibiotics, drainage
  58. Acute inflammation of salivary gland related to a stone in the duct
    Sialoadenitis
  59. Most common glands involved in sialoadenitis
    Submandibular, sublingual
  60. Treatment of sialoadenitis
    Incision and stone removal
  61. Treatment of peritonsillar abscess
    Needle aspiration, then drainage through tonsillar bed
  62. Abscess more common in older kids (>10)
    Peritonsillar
  63. Abscess more common in younger kids (<10)
    Retropharyngeal
  64. Treatment of retropharyngeal abscess
    Intubation, drainage through posterior pharyngeal wall
  65. Abscess common with dental infection, tonsillitis, and pharyngitis
    Parapharyngeal abscess
  66. Treatment of parapharyngeal abscess
    I&D through lateral neck (avoid carotid and jugular)
  67. Acute infection of floor of mouth most commonly from dental infection of mandibular teeth
    Ludwig�s angina
  68. Most common distant metastases for head and neck tumors
    Lung
  69. Most common cause of posterior neck masses
    Hodgkin�s lymphoma
  70. Workup of neck mass
    Laryngoscopy, FNA, panendoscopy, biopsy, neck/chest CT, then excisional biopsy if needed
  71. Nodal epidermoid cancer with unknown primary: treatment??
    Panendoscopy, CT, ipsilateral MRND, tonsillectomy, bilateral XRT
  72. Foreign bodies that cause dysphagia
    Esophageal FB
  73. Foreign bodies that cause coughing
    Laryngeal FB
  74. Treatment of subglottic stenosis
    Laser, dilatation, excision
  75. Most fatal complication of tracheostomy
    Tracheo-innominate fistula
  76. Timing of cleft lip repair
    10 weeks, 10 pounds, Hgb 10
  77. timing of cleft palate repair
    12 months (may effect maxillofacial growth if closed too early)
  78. most common benign head and neck tumor in adults
    hemangioma
  79. infection of mastoid cells; rare complication of untreated otitis media
    mastoiditis
  80. infection in children 3-5 characterized by stridor, drooling, and tripod position
    epiglottitis

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