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Supraclavicular Brachial Plexus Blocks
Published in Bernard J. Dalens, Jean-Pierre Monnet, Yves Harmand, Pediatric Regional Anesthesia, 2019
Bernard J. Dalens, Jean-Pierre Monnet, Yves Harmand
Within this space, the roots of the brachial plexus are surrounded by the anterior and middle scalene muscles, and, more anteriorly and medially, by the sternocleidomastoid muscle (Figure 1.6). The brachial plexus is crossed by nerves (the supraclavicular and subclavius nerves), vessels (the transverse cervical artery and the external jugular vein), and the omohyoid muscle. As it emerges from between the anterior and middle scalene muscles, the plexus lies above and behind the subclavian artery and the passes through the space between the first rib and the clavicle, and continues towards the axilla.
Genitourinary and trunk
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
Trapezius is based on the transverse cervical artery (type II, minor pedicles from occipital artery and posterior intercostals) and can be harvested down to ~5 cm below the scapula. It can be used to cover defects of the upper back/nape.
Surgical Anatomy of the Neck
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
Laura Warner, Christopher Jennings, John C. Watkinson
The trapezius is the main anti-gravity muscle of the shoulder, providing postural stability, and relieves some of the compression load of the head on the cervical spine. The active movements include tilting and turning the head and shrugging the shoulders. The trapezius elevates, depresses and rotates the scapula.18 The arterial blood supply is via the transverse cervical artery. The accessory nerve provides motor supply to the trapezius muscle with contributions from the cervical plexus derived from C3 and C4 nerve roots. The cervical plexus branches mainly provide proprioception, however studies have proven a contribution to the motor function of the transverse and ascending parts of the muscle from the cervical plexus branches. Disruption of the motor supply to the trapezius causes shoulder droop and a winged scapula with difficulty in elevating the ipsilateral arm above the head and weakness when shrugging the shoulder. Chronic neck pain is often a feature of trapezius paralysis.
Clinical Efficacy of Intraoperative Ultrasound for Prophylactic Lymphadenectomy of the Lateral Cervical Neck in Stage CN0 Papillary Thyroid Cancer: A Prospective Study
Published in Journal of Investigative Surgery, 2023
Yi Shen, Xiaoen Li, Lingling Tao, Yupan Chen, Rongli Xie
The American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery’s standards [25] were followed for the Neck Dissection Classification: lymph nodes in the submental triangle at Level IA; lymph nodes in the digastric muscle’s anterior and posterior belly and the body of the mandible at Level IB; and lymph nodes at Level IIA, where the anterior boundary is the stylohyoid muscle and the posterior boundary is a vertical plane determined by the spinal accessory nerve; the sternocleidomastoid muscle’s posterior border serves as the level IIB’s posterior boundary, while the spinal accessory nerve’s vertical plane serves as the level IIB’s anterior boundary; Level III, middle jugular group: lymph nodes situated around the internal jugular vein’s middle third; Level IV, lower jugular group: lymph nodes around the internal jugular vein’s bottom third; Level V, posterior jugular triangle lymph nodes, which are situated along the transverse cervical artery and the lower portion of the spinal accessory nerve; precricoid lymph node, perithyroidal lymph nodes, paratracheal lymph nodes, and lymph nodes along the recurrent laryngeal nerve are all included in the Level VI, anterior compartment group, which surrounds the central visceral tissues of the neck; The pretracheal, paratracheal, and esophageal groove lymph nodes are included in the Level VII, superior mediastinal group.
Post-traumatic glomus tumor of the left anterior supraclavicular nerve: a case report
Published in Neurological Research, 2023
Alessandra Turrini, Guido Staffa, Giulio Rossi, Crescenzo Capone
As for common GTs, those of peripheral nerves occur mostly in young patients in their forties, affecting both sexes, with a mild female preponderance [10]. Certain etiology remains unknown and it may be related to sex, age, inheritance, or trauma. Park et al. 2013 interestingly hypothesized that a constitutional weakness in the structure of a glomus body may lead to reactive hypertrophy after trauma [23]. Our case could support this hypothesis, as the tumor developed in the area of the body mainly affected by the trauma that is the part of the neck in contact with the safety belt. Moreover, the presence of a post-traumatic pseudoaneurysm of the transverse cervical artery suggests that the trauma was significant.
Promising perioperative outcomes of supraclavicular flap in the reconstruction of head and neck complex defects: An evidence-based case report
Published in Acta Oto-Laryngologica Case Reports, 2022
Fauziah Fardizza, Mirta Hediyati Reksodiputro, Bambang Hermani, Trimartani Koento, Syahrial Marsinta Hutauruk, Dini Widiarni Widodo, Arie Cahyono, Raden Ayu Anatriera, Khoirul Anam
Recently, there had been an increase in interest towards the use of the cervico-humeral tissue, specifically the supraclavicular flap (SCF), for H&N reconstruction. The SCF’s versatility and ease of harvest may signal the beginning of a paradigm shift in the approach to H&N reconstruction away from free flaps as the highest rung approach for complex soft tissue defects. The blood supply of the SCF is the supraclavicular artery, a branch of the transverse cervical artery that traverses the shoulder cephalad to the clavicular insertion of the trapezius muscle passing laterally toward the deltoid muscle [4].