Venous Access: External and Internal Jugular Veins The external and internal jugular veins are frequently used for access to the central venous circulation. In this chapter, external jugular venous cutdown,…
Introduction Structures of significance in the lateral neck are primarily vascular. The internal and external jugular veins and the common, internal, and external carotid arteries are all approached from the…
Parathyroidectomy Samuel M. Maurice Geeta Lal Introduction In experienced hands, parathyroidectomy is >95% successful in curing hyperparathyroidism. Hyperparathyroidism may result from the overactivity of one gland, as in the case…
Thyroid Lobectomy Samuel M. Maurice Geeta Lal The thyroid gland is composed of two lobes (right and left) connected by a midline isthmus and a variable pyramidal lobe. It is…
Thyroglossal Duct Cyst In this section, the anatomy of the upper midline of the neck is explored, and the embryology of the thyroid gland and associated anomalies is discussed through…
Percutaneous Dilatational Tracheostomy Timothy Van Natta G. Patrick Kealey Percutaneous dilatational tracheostomy is now an accepted operative technique. There are two slightly different technical approaches to this procedure, which differ…
Tracheostomy and Cricothyroidotomy Tracheostomy is necessary when long-term access to the airway for ventilatory support or respiratory toilet is required. This chapter describes formal tracheostomy; percutaneous tracheostomy (Chapter 4) is…
Introduction The fascial spaces and anatomic triangles of the neck provide a good orientation to the complex anatomy of the neck. An understanding of the infrahyoid deep (or investing) cervical…
Laryngoscopy and Endotracheal Intubation Laryngoscopy, or visualization of the larynx, is performed for both diagnostic and therapeutic purposes. In this chapter, indirect (or mirror) laryngoscopy and the visualization of the…
Introduction Although not strictly operative procedures, laryngoscopy and endotracheal intubation are frequently performed by surgeons. Accurate diagnosis and management of upper airway problems demand a thorough understanding of the anatomy…
