Page 26 - Head and neck surgery

CN+VE

In patients with confirmed cervical nodal

metastasis during clinical and radiological

assessment i.e. cN+ve disease, neck

dissection is performed to remove levels

I-V cervical lymph nodes. T
V C
P
B
Radical neck dissection is defined by

removal of levels I-V cervical lymph nodes,

spinal accessory nerve (CNXI), internal

jugular vein (IJV) and sternocleidomastoid On completion of radical neck dissection, the CNXI, IJV

muscle (SCM). This results in extensive and SCM are removed. Photo shows the trapezius

operative and functional morbidities. muscle (T), brachial plexus (B), phrenic nerve (P), vagus
nerve (V) and carotid artery (C).