Deep structures in the neck
Anatomy · Topic 35
Source: NMC CBME Curriculum 2024 · Volume I · Anatomy · Topic 35 · combined PDF page 128
Practice questions
- A patient with recurrent facial swelling and dysphagia has a large fluid collection on CT extending from the submandibular region into the mid-cervical area. Which interpretation is most consistent with the reported anatomy and clinical concern of deep-neck infection?
- A patient with a suspected deep-neck collection undergoes aspiration, yielding purulent material. Which additional use of the aspirated material is directly supported by the reported case?
- A culture from a radiologically demonstrated, aspirated deep-neck abscess grows Cutibacterium acnes. Which conclusion is best supported by the reported case?
- Why does the anatomical location of a deep-neck abscess make it potentially serious even when the presenting complaint is facial swelling?
- A patient has a visible neck contour abnormality that persists despite a procedure directed chiefly at platysmal tightening. Which anatomical explanation is most consistent with the cited deep-neck surgery review?
- According to the cited review, which deep structure is particularly emphasized as a contributor to recurrent neck deformity from excess deep cervical volume?
- A stable patient with penetrating neck trauma has no contrast extravasation, pseudoaneurysm, or hematoma on CT angiography but has new vocal-fold immobility on flexible laryngoscopy. What is the best anatomical interpretation?
- During selective exploration after penetrating neck trauma, a transected recurrent laryngeal nerve is found in the tracheoesophageal groove. In the cited case, which donor structure was used for direct reinnervation when primary repair was not feasible?
- A patient with deep penetrating neck wounds is hemodynamically stable and has no major vascular abnormality on CT angiography. Which finding in the reported case prompted recognition of occult laryngeal dysfunction?