ultrasound of the neck in 7 sweeps - bmus · 2015-11-26 · 1 •acj to mastoid tip •follow ant...

Ultrasound of the neck in 7 sweeps

rhian.rhys@wales.nhs.uk

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

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

3

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

3

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

3

4

5

6

t process

trapezius

lev scap

*

Sweep 6: posterior triangle

V

* * *

*

1

•Hyoid to sternal notch •Thyroid and Larynx

2

3

4

5

6

Sweep 7: anterior neck

7

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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7

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Ultrasound of the neck in 7 sweeps