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Ultrasound of the neck in 7 sweeps [email protected]
Rouviere AJCC
Ultrasound of the neck in 7 sweeps
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Ultrasound of the neck in 7 sweeps
1: submental
1
•chin to hyoid •midline
Sweep 1: submental
mylohyoid
hyoglossus genioglossus
geniohyoid
m m
h
Sweep 1: submental anatomy
mylohyoid
hg
Sweep 1: submental anatomy
submandibular duct
mylohyoid
hyoglossus
dg dg
sl sl
gh gh
Sweep 1: submental
gg gg
dg
dg
Sweep 1: submental
Ia
gh
dg
gh
mh
hgloss hgloss
Sweep 1: submental
art
m
h gh
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
Sweep 2: submandibular
m
h
mh
hg
Sweep 2: submandibular
Sweep 2: submandibular
mandible
mh
hg
Ib
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
par smg
retromandibular vein
Sweep 3: parotid
m
buccinator - cheeks relaxed
Sweep 3: parotid
m buccinator - cheeks puffed-out
Sweep 3: parotid
m
buccinator - cheeks relaxed
buccal fat pad
Sweep 3: parotid
*
*
ma
Buccal fat pad
Sweep 3: parotid
1
•Angle of jaw to scj •Follow IJV
2
Sweep 4: deep cervical chain
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4
smg
*
*
JDG node
Sweep 4: deep cervical chain
smastoid
thyroid
oe
vertebra
*
Sweep 4: deep cervical chain
III X
transverse
*
st
long
scm
omohyoid
Sweep 4: deep cervical chain
1
•Scj to acj •Follow clavicle •Sternomastoid to trapezius
2
Sweep 5: transverse cervical
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4
5
sc m
sc ant
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
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4
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6
t process
trapezius
lev scap
*
Sweep 6: posterior triangle
V
* * *
*
1
•Hyoid to sternal notch •Thyroid and Larynx
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6
Sweep 7: anterior neck
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Sweep 7: anterior neck
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
* * *
* *
strap strap
Sweep 7: anterior neck
vallecullae
epiglottis
* * *
strap
strap
Sweep 7: anterior neck
**pre epiglottic fat **
epiglottis
Sweep 7: anterior neck
**pre epiglottic fat **
hyoid
thyrohyoid membrane
*
* *
thyroid
˚ ˚
false vocal cords true vocal cords
˚ ˚ ˚ ˚
˚ ˚
˚
˚
˚
˚
˚
˚ ˚ ˚
* *
Sweep 7: anterior neck
arytenoids
**paraglottic fat **
hypopharynx
*
˚ ˚
* *
Sweep 7: anterior neck
˚
**paraglottic fat **
top bottom
tr
str str
*
Sweep 7: anterior neck
thymus
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Ultrasound of the neck in 7 sweeps
