Surgery of the Head and Neck: Anatomy, Instrumentation and Dissection

_____ connects the larynx and the hyoid bone with the sternum anteriorly.

A: Diagastric muscle

B: Sternocleidomastoid muscle

C: Platysma muscle

D: Strap muscles

D: Strap muscles

The cervical branch of the facial nerves innervates the _____.

A: Corner of the mouth

B: Anterior belly of the diagastric muscle

C: Platysma

D: Vocal cords

C: Platysma

The recurrent laryngeal nerve _____.

A: Ascends along the tracheoesophageal groove

B: Travels superior and deep to the submandibular gland

C: Moves from the skull base

D: Resides in the carotid sheath

A: Ascends along the tracheoesophageal groove

The _____ branches in the neck and has its own _____ sheath.

A: Jugular vein, jugular

B: Carotid artery, carotid

C: Lingual nerve, external

D: Cervical chain, carotid

B: Carotid artery, carotid

Three major structures of the neck are:

A: External carotid artery, vagus nerve and spinal accessory nerve

B: Hyoid bone, submandibular gland and superior thyroid

C: Pharynx, larynx and trachea

D: External jugular vein, strap muscles and hypoglossal nerve

C: Pharynx, larynx and trachea

Level _____ lymph nodes are within the _____

A: I, submental

B: II, lower jugular

C: VI, middle jugular

D: IV, sternocleidomastoid muscle

A: Ascends along the tracheoesophageal groove

_____ involves removal of all cervical lymph node groups.

A: Modified neck dissection

B: Radical neck dissection

C: Selective neck dissection

D: Thyroidectomy

B: Radical neck dissection

A modified radical neck dissection extends from _____ to _____.

A: Mastoid tip to mastoid tip

B: Diagastric muscle to midline of the neck

C: Mandible to clavicle

D: Sternocleidomastoid muscle to above the clavicle

C: Mandible to clavicle

_____ identifi es the size of the tumor, lymph node involvement and metastasis.

A: X-ray

B: Tumor staging

C: Palpation

D: Biopsy

B: Tumor staging

Lateral neck dissection involves the en block removal of levels _____, _____, and _____.

A: I, II and III

B: I, II and VI

C: II, III and IV

D: III, IV and V

C: II, III and IV

Which of the following muscles is not considered a part of the group of strap muscles?

A: Sternohyoid

B: Digastric

C: Omohyoid

D: Thyrohyoid

B: Digastric

When identifying a tumor the "T" represents the:

A: site of nodal metastasis.

B: size of the nodes.

C: size and depth of the tumor.

D: extent of metastasis.

C: size and depth of the tumor.

Which of the following is a branch of the external carotid artery?

A: Ascending pharyngeal

B: Anterior cerebral

C: Stapedial

D: Ascending cervical

A: Ascending pharyngeal

The Level III lymph nodes are the:

A: middle jugular.

B: anterior cervical.

C: posterior triangle.

D: submental and submandibular.

A: middle jugular.

When performing neck surgery what instrument set is essential to have available in the operating room?

A: Craniotomy

B: LeFort

C: Cardiothoracic

D: Tracheotomy

D: Tracheotomy

During neck dissection procedures which of the following nerves must be identified and preserved?

A: Zygomatic

B: Lingual

C: Buccal

D: Mental

B: Lingual

Which of the following grafts is used by some surgeons to cover the carotic artery for protection?

A: Dermal

B: Polytetrafluoroethylene

C: Gore-Tex

D: Dacron

A: Dermal

When performing a radical neck dissection and modified radical neck dissection the sternocleidomastoid muscle is excise

A: True

B: False

B: False

The "bloody triangle" involves the area between the:

A: sternocleidomastoid muscle and superior belly of omohyoid muscle.

B: mandible and digastric muscle.

C: sternocleidomastoid muscle and superior internal jugular vein.

D: carotid artery triangle.

C: sternocleidomastoid muscle and superior internal jugular vein.

Elective supraomohyoid neck dissections are performed for patients with tumors affecting the:

A: larynx and oropharynx.

B: posterior upper neck.

C: thyroid and cervical trachea.

D: floor of the mouth or tongue.

D: floor of the mouth or tongue.