Page 27 - Head and neck surgery

In the absence of extracapsular spread and SCM

invasion of surrounding structures, other

than removing levels I-V cervical lymph

nodes, we try to preserve as much normal

non-lymphatic structures as possible i.e.

modified radical neck dissection:

• Type I: CNXI preserved
IJV
• Type II: CNXI + IJV preserved

• Type III: CNXI + IJV + SCM preserved

Modified radical neck dissection performed via a McFee

incision. IJV and SCM can be seen in this photo.