Neck Surgery

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The neck:

The structure sufficiently strong enough to anchor the head, mobile enough to move it in several directions. It represents one of the most complex anatomical regions intimately linked with the head anatomy. It is an important element for fashion accessories and jewelry display. It provides writers and movie directors a source of inspirations to enrich their story lines.

Welcome to faces, your medical and surgical guide to the head and neck!

The neck contains the cervical spine, the trachea, the larynx, the esophagus, around 300 lymph nodes, muscles, nerves, connective, tissue and skin. For this reason, the pathology of the neck is very wide ranging. The diagnostic workup is heavily supported on imaging tests. Many neck lumps need a fine needle biopsy before planning a treatment strategy. Presenting all neck pathologists would be too ambitious, so in this video I decided to present you some of my representative cases of benign neck masses.

The first case belongs to a woman with a slow growing mass, at the left side of her neck, distorting its contour.

She was also complaining from a slight limitation in moving up her left shoulder. It was a lipoma, a benign tumor of fat cells. In this particular case it was compressing the accessory nerve on its way to supply the trapezius muscle, explaining the shoulder movement limitation. After removal, the neck regained its normal curvature, preserving the nerve and its function.

This is also a lipoma located at the anterior part of the neck. Imaging and cytology help to differentiate it from thyroglossal cyst. I invite you to watch the salivary glands video with more details on salivary gland tumors and the anatomy of the facial nerve.

This mass is a submandibular gland tumor. When performing the removal of the submandibular tumor, it is important to take into account not only the facial nerve, but also the lingual nerve.

This lump looks similar to the latter, but in this case it is a branchial cleft cyst. These are congenital abnormalities, meaning it’s a condition present at birth. Despite it is a congenital defect, most cysts turn into symptomatic lumps only in late childhood or early adulthood.

At the same side, this young woman had nothing but a slight discomfort over the past months. Despite no evident mass at inspection, the clinical examination and then CT scan and cytology pointed toward what after surgery was confirmed to be a branchial cleft cyst. The mass was removed from a delicate position with important structures to preserve:

1) The hypoglossal nerve, that supplies the tongue muscles.
2) The accessory nerve, for trapezius and sternocleidomastoid muscle.
3) Major neck vessels.

This woman had discomfort at her right side of the neck, in particular when rotating her head. Imaging exams revealed a paraganglioma: a neuroendocrine tumor, located at the carotid bifurcation. It was removed and nowadays she has no symptoms. However genetic tests showed an hereditary mutation, which means there is a risk of having other paragangliomas. Therefore she’s under lifelong follow-up.

So, you have seen how rich is the neck anatomy, some pathologies of the neck and also an opportunity to have an idea how skin scars look at different stages of healing, though it is important to remember that scaring depends on many factors, a topic for another video maybe!

I hope you like the video.

See you soon.

MD, DSS, Miguel Lopes Oliveira

Maxillofacial Surgeon

At Faces, we offer a wide range of specialized services in facial health. Our highly qualified team is ready to meet your individual needs. In our clinic, you will find a global and comprehensive approach to facial and neck surgery, achieving results beyond restoration.

We provide treatments for conditions such as temporomandibular joint dysfunction, orthognathic surgery, salivary gland problems, neck conditions, snoring and sleep apnea, tear duct and eyelid issues, facial fat grafting, and trauma-related injuries.

Our dedicated team is here to answer all your questions and provide the most suitable treatment for you. Schedule a consultation with us today and discover how we can help you.

Pedro Costelas
Pedro Costelas
2022-12-31
Recentemente fui submetido a uma cirurgia Maxilofacial para retirar um tumor benigno, tendo a mesma sido efetuada pelo Dr. Miguel Oliveira. A cirurgia não podia ter corrido melhor só tendo a agradecer ao Dr Miguel o seu grande profissionalismo e o interesse que demonstrou em resolver o meu problema, que tanto me preocupava. A intervenção correu muito bem, assim como a posterior recuperação. A cicatriz mal se nota pelo excelente trabalho efetuado pelo Dr. Miguel. Mais uma vez o meu Muito Obrigado por tudo!!!
Teresa Canário
Teresa Canário
2022-12-30
Fui intervencionada recentemente a um enorme lipoma pelo Dr. Miguel Oliveira e não quero deixar de destacar o extremo profissionalismo, simpatia, empatia com que conduziu todo o meu processo. De destacar ainda a forma descontraída com que sempre me tratou, o que ajudou em muito a que eu acreditasse que estava realmente nas mãos certas. O resultado foi perfeito, a cicatriz é quase invisível e ninguém acredita que daquele tão pequeno espaço saiu um lipoma tão grande. Quero agradecer profundamente ao Dr. Miguel por todo o seu excelente trabalho!
Tânia Calisto
Tânia Calisto
2022-12-29
O Dr. MIGUEL foi impecável. Super atencioso, simpático e prestável. Foi muito esclarecedor.
Anabela Correia
Anabela Correia
2022-12-29
O Dr. Miguel Oliveira é um profissional de excelência. A cirurgia reconstrutiva q fez ao olho esquerdo do meu pai fIcou PERFEITA. O meu pai tem 82 anos e foi alvo de violência q o deixou com várias lesões no rosto em especial na zona ocular e o Dr. Miguel foi de uma atenção, empatia e perfeccionismo inexcedível. Obgada.
Mariana Rosa
Mariana Rosa
2022-12-22
Excelente médico, sempre disponível fossem que horas fossem. Durante a recuperação ligou várias vezes para acompanhar ao máximo a recuperação apesar de não estar perto. Aconselho!
Mario Reis
Mario Reis
2022-12-18
As consultas e a cirurgia com o Dr. Miguel Oliveira decorreram de forma tranquila, serena, com toda a informação. A intervenção evidenciou elevado nível de competência profissional. Grato pelos serviços profissionais prestados.
maria anjos
maria anjos
2022-11-24
Sempre considerei que profissionalismo e competência é o que devemos valorizar em qualquer área mas sobretudo na saúde. Quando nada o fazia prever foi-me diagnosticado um carcinoma mucoepidermoide. Em boa hora conheci o Dr. Miguel Oliveira e desde o primeiro momento senti uma enorme confiança. Fui operada e até hoje continuo a ser acompanhada por ele. Embora ainda não se possa cantar vitória, o certo é que até agora tem tudo corrido bem. Bem haja Sr. Dr. Miguel Oliveira.
pedro brandao
pedro brandao
2022-10-27
Consulta que demonstrou confiança serenidade e competência no diagnóstico clínico .Fui recebido a horas e decorreu com a urbanidade que esperava.

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Beyond Restored

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