Head and Neck Surgery — Flashcards

Flashcard 31: What levels of lymph nodes are dissected in radical neck dissection?_____

Answer: Level 1-5

Flashcard 32: Surgical management of a thyroglossal cyst is via a _____

Answer: Sistrunk procedure.

Flashcard 33: Which small self-retaining retractor is commonly used in mastoid surgery?

Answer: Jansen's mastoid retractor (self-retaining)

Flashcard 34: In CSF rhinorrhea, the fluid which has collected in the sinuses (particularly the sphenoid) empties into the nose upon tilting the head. This is known as the _____ sign.

Answer: Reservoir sign (Teapot sign) Note: It is also seen in ethmoidal mucocele.

Flashcard 35: _____ is the treatment of choice for acoustic neuroma

Answer: Surgical removal

Flashcard 36: _____ is the treatment of choice for stage 1 and 2 angiofibroma

Answer: Surgery

Flashcard 37: Treatment for external laryngocele is _____

Answer: excision (external incision)

Flashcard 38: _____ is done in cases of Tubotympanic Disease (TTD) where a reservoir of infection in the mastoid is suspected.

Answer: Cortical mastoidectomy

Flashcard 39: In case of upper airway blockage (e.g., laryngotracheal stenosis), Tracheostomy is done at the level of _____ ring(s)

Answer: 2nd, 3rd, or 4th

Extra: Tracheostomy is ideally performed at the level of the 2nd, 3rd, or 4th tracheal rings. - **Avoid 1st ring:** To prevent subglottic stenosis (due to proximity to the cricoid cartilage). - **Avoid 5th ring and below:** To prevent injury to the innominate artery (brachiocephalic trunk) and because the trachea becomes deeper.

Flashcard 40: Tightly suturing the skin in tracheostomy can lead to the development of _____

Answer: subcutaneous emphysema