Key Points Penetrating neck injury comprises 5% to 10% of all trauma cases. All penetrating neck wounds are potentially dangerous and require emergency treatment. Emergent surgical exploration is necessary for immediate life-threatening signs or symptoms, such as expanding hematoma, hematoma…
Key Points Complications of neck surgery have evolved over time with the introduction of new procedures and philosophies in the management of patients with head and neck cancer. Neck complications can be categorized into four groups: wound, vascular, nerve, and…
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Key Points In the previously untreated neck, lymph node infiltration follows a predictable pattern. Except for nasopharyngeal carcinoma, selective irradiation can be applied for patients with an N0 to N1 neck. Three-dimensional (3D) delineation of the neck levels should be…
Key Points Chemotherapy is the mainstay of treatment. Surgery does not play a role in the curative treatment of lymphoma. An adequate biopsy is critical to render an accurate diagnosis and classify lymphoma. An excisional or incisional biopsy is the…
Key Points Neck masses represent a diverse group of pathologic processes and require a broad differential diagnosis. Both benign and malignant lesions can present as a mass in the neck, which makes a careful approach to these lesions important. A…
Key Points High-resolution ultrasound imaging is the “gold standard” modality for nodular thyroid disease and should include assessment of cervical lymph nodes. Thyroid nodules are very common and should be risk stratified by sonographic appearance according to the guidelines of…
Key Points A thorough history and physical examination are still the cornerstones of the workup for neck mass. Pediatric neck masses are more often benign; in adults, neck masses should be assumed to be malignant until proven otherwise. Proximal aerodigestive…
Key Points Ninety percent of primary tracheal tumors in adults are malignant. Tracheal squamous cell carcinoma (SCC) and adenoid cystic carcinoma (ACC) are the two most common primary tracheal malignancies, and together they account for 75% of all primary tracheal…
Key Points Surgical prosthetic voice restoration is the best option and gold standard for reestablishing oral communication in laryngectomized individuals. Surgical prosthetic voice restoration is feasible in all patients who are healthy enough to tolerate total laryngectomy and motivated to…