Date of download: 6/21/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Neck Dissection Planning Based on Postchemoradiation Computed Tomography in Patients With Head and Neck Cancer Arch Otolaryngol Head Neck Surg. 2009;135(9): doi: /archoto Axial contrast-enhanced computed tomography (CT) of the neck for 2 patients following chemoradiation (CRT). Patient A retained an indistinct tissue plane around the sternocleidomastoid muscle (SCM; arrow) and an absent internal jugular vein (IJV) following CRT. Both required intraoperative removal. Patient B had bilateral indistinct tissue planes surrounding the SCM (arrowheads) and an absent IJV on the right. These were removed, but the normally filling IJV on the left (asterisk) was able to be preserved. Figure Legend:

Date of download: 6/21/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Neck Dissection Planning Based on Postchemoradiation Computed Tomography in Patients With Head and Neck Cancer Arch Otolaryngol Head Neck Surg. 2009;135(9): doi: /archoto Evaluation of internal jugular vein (IJV) abnormalities using axial contrast-enhanced computed tomographic (CT) scans of the neck of a patient prior to (A) and following (B) chemoradiation (CRT). The arrow in the pretreatment scan identifies absence of contrast in the IJV from either tumor compression or thrombosis. Following CRT, the IJV reappeared (arrow) and was preserved during the post-CRT neck dissection. Figure Legend:

Date of download: 6/21/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Neck Dissection Planning Based on Postchemoradiation Computed Tomography in Patients With Head and Neck Cancer Arch Otolaryngol Head Neck Surg. 2009;135(9): doi: /archoto Evaluation of sternocleidomastoid muscle (SCM) abnormalities using axial contrast-enhanced computed tomographic (CT) scans of the neck of a patient prior to (A) and following chemoradiation (CRT). The arrow identifies absence of a clear tissue plane between the tumor and the SCM on pretreatment scanning. Following CRT, there has been a radiologic complete response of the tumor, and the tissue plane deep to the SCM has become distinct (arrow). The SCM was preserved during the post-CRT neck dissection. Figure Legend: