Abstract
This chapter relates the laminae of the cervical deep fascia to nerves and blood vessels. Atherosclerosis is linked to the bends of the arteries and its herbal solutions are disputed. Topography of the large arteries is associated with Blalock-Taussig operations and situs inversus. The Sloan-Kettering lymphatic maps are correlated with metastases, especially squamous cell carcinomas and lymphatic node distributions. Attention is given to lymphatic development and lymph vessel pump actions. Human development of the venous system explains its independence. The venous pterygoid plexus is described together with its damping effect on masticatory pressure. The blood vessels need to pass from weak and transformational areas (front of the neck) into bony-related areas. This forces blood vessels into trunks and fans.
The sensitivity of ultrasound to identify metastatically involved necks is very high when compared to palpation. The specificity however, is low since images do not allow differentiation between benign and malignant nodes (Baatenburg de Jong and Rongen 1990)
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Marani, E., Heida, C. (2018). Peripheral Nerve and Blood Supply, and Lympha tic Drainage of Head and Neck. In: Head and Neck. Springer, Cham. https://doi.org/10.1007/978-3-319-92105-1_14
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