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Ultrasound of the neck in 7 sweeps
rhian rhys örebro 2012
Rouviere) AJCC)
Ultrasound of the neck in 7 sweeps
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Ultrasound of the neck in 7 sweeps
1: submental
1
•chin to hyoid •midline
mm
h
Sweep 1: submental anatomy
mylohyoid
Sweep 1: submental anatomy
submandibular duct
mylohyoid
hyoglossus
dg dg
slsl
gh gh
Sweep 1: submental
mh
hglosshgloss
Sweep 1: submental
m
hgh
gglossus
Sweep 1: submental
Sweep 2: submandibular
1
•Chin to angle of mandible•Follow mylohyoid
2
mh
hg
dg post
dg ant
Sweep 2: submandibular
sl
dg
mh
mh
Sweep 2: submandibular
mh
mh
hg
Sweep 2: submandibular
1
•EAM to angle of mouth•Follow parotid duct
2
Sweep 3: parotid
3
Sweep 3: parotid anatomy
dg post
mass
mz *
mast
*
Sweep 3: parotid
parsmg
retromandibular vein
Sweep 3: parotid
*
*
buccal fat pad
Sweep 3: parotid
m
mbuccinator - cheeks puffed-out
buccinator - cheeks relaxed
Sweep 3: parotid
ma
Buccal fat pad
Sweep 3: parotid
1
•Angle of jaw to scj•Follow IJV
2
Sweep 4: deep cervical chain
3
4
smg
*
*
Sweep 4: deep cervical chain
JDG node
smastoid
thyroid
oe
vertebra
*
Sweep 4: deep cervical chain
transverse long
* *
stst
omohyoid
Sweep 4: deep cervical chain
1
•Scj to acj•Follow clavicle
2
Sweep 5: transverse cervical
3
4
5
sa
smed
sm
Sweep 5: transverse cervical
brachial plexus elements
post
tp
ant
tp
th
vertebra
Sweep 5: transverse cervical
C6
C6
C7
Sweep 5: transverse cervical
1
•Acj to mastoid tip•Follow ant border trapezuis
2
Sweep 6: posterior triangle
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4
5
6
t process
trapezius
lev scap
*
Sweep 6: posterior triangle
1
•Hyoid to sternal notch•Larynx and thyroid
2
3
4
5
6
Sweep 7: anterior neck
7
Sweep 7: anterior neck - anatomy
pre epiglottic fat
Sweep 7: anterior neck - anatomy
false vocal cords true vocal cords
paraglottic fat
Sweep 7: anterior neck - anatomy
paraglottic fat
strapstrap
Sweep 7: anterior neck
vallecullae
epiglottis
* **
strap strap
Sweep 7: anterior neck
**pre epiglottic fat **
˚ ˚
**
*
Sweep 7: anterior neck
**pre epiglottic fat **
epiglottis
hyoid
thyrohyoid membrane
false vocal cords true vocal cords
˚ ˚˚˚
˚˚
˚
˚
˚
˚
˚
˚˚ ˚
* *
Sweep 7: anterior neck
arytenoids
**paraglottic fat **
*
˚ ˚
**
Sweep 7: anterior neck
˚
**paraglottic fat **
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Ultrasound of the neck in 7 sweeps