Wester D J, Whiteman M L, Singer S, Bowen B C, Goodwin W J
Department of Radiology, University of Miami School of Medicine, FL 33136, USA.
AJR Am J Roentgenol. 1995 Apr;164(4):989-93. doi: 10.2214/ajr.164.4.7726063.
Radiologists are playing an increasingly important role in the management of patients with head and neck cancer. Imaging is often essential in preoperative planning. It is therefore imperative for the radiologist to be familiar with the wide variety of surgical procedures used as well as the normal CT and MR imaging appearance after such procedures. In addition, familiarity with the appearance of tumor recurrence and postoperative complications is essential. This pictorial essay illustrates the appearance of the normal and abnormal postoperative neck on CT scans and MR images, with an emphasis on reconstructive flaps. Postoperative complications evident on imaging studies are depicted, as is the appearance of tumor recurrence. One lymph node classification system is briefly reviewed as a basis for discussion of neck dissection and other surgical procedures.
放射科医生在头颈部癌患者的管理中发挥着越来越重要的作用。影像学检查在术前规划中往往至关重要。因此，放射科医生必须熟悉所采用的各种外科手术以及这些手术后的正常CT和MR成像表现。此外，熟悉肿瘤复发和术后并发症的表现也至关重要。这篇图文并茂的文章展示了CT扫描和MR图像上术后颈部正常和异常的表现，重点是重建皮瓣。描述了影像学研究中明显的术后并发症以及肿瘤复发的表现。简要回顾了一种淋巴结分类系统，作为讨论颈部清扫术和其他外科手术的基础。
