Supra omohyoid dissection of lymph nodes is called as
The core concept here is the classification of neck dissections, specifically the supra-omohyoid type. I remember that radical neck dissection involves removing all lymph nodes and surrounding structures, but modified radical is less extensive. Supra-omohyoid refers to a specific region, maybe the level I and II nodes.
The correct answer is likely "Supra-omohyoid neck dissection" which is a type of selective dissection. The supra-omohyoid nodes are located above the omohyoid muscle, so the dissection would include levels I and II.
Why are the other options wrong? If an option says radical neck dissection, that's incorrect because it's more extensive. Modified radical might remove more nodes than just the supra-omohyoid. Selective dissection is a type but not specific to the supra-omohyoid region.
The clinical pearl here is that supra-omohyoid dissection is used for early-stage cancers where metastasis is limited to these nodes. It's important for preserving function, like avoiding removal of the sternocleidomastoid muscle or accessory nerve.
So the correct answer should be the one labeled as supra-omohyoid neck dissection. Let me check the options again. If the options are A to D, and the correct one is C, then the correct answer is C. But I need to make sure the terminology is exact. Sometimes it's also called "Level I and II dissection." So the answer is likely the option that mentions "supra-omohyoid neck dissection."
**Core Concept**
Lymph node dissections in the neck are classified based on anatomical levels and structures preserved. **Supra-omohyoid dissection** targets lymph nodes *above the omohyoid muscle*, typically Levels I and II of the cervical lymphatic system.
**Why the Correct Answer is Right**
**Supra-omohyoid neck dissection** involves removal of lymph nodes from the submental, submandibular (Level I) and upper jugular (Level II) regions. It preserves the sternocleidomastoid muscle, spinal accessory nerve, and internal jugular vein, distinguishing it from more extensive dissections. This approach is used for early-stage oral cavity or laryngeal cancers with limited metastasis.
**Why Each Wrong Option is Incorrect**
**Option A:** *Radical neck dissection* removes all lymph nodes, muscles, and nerves (including sternocleidomastoid and accessory nerve), which is far more extensive.
**Option B:** *Modified radical dissection* preserves the internal jugular vein but removes lymph nodes up to Level V.
**Option D:** *Selective neck dissection* is a broad term; **supra-omohyoid** is a specific subtype of selective dissection.
**Clinical Pearl / High-Yield Fact**
Supra-omohyoid dissection is indicated for T1-T2 squamous cell carcinomas