Ultrasound of the neck in 7 sweeps

rhian rhys örebro 2012

Rouviere) AJCC)

Ultrasound of the neck in 7 sweeps

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4

5

6

7

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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

3

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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4

5

6

7

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Ultrasound of the neck in 7 sweeps