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Table 1 Surgical Levels of the head & Neck

From: How we do it: a method of neck dissection for histopathological analysis

Level I

Lower border of the body of the mandible superiorly, posterior belly of the diagastric muscle posteriorly, hyoid bone inferiorly and the midline medially

Level II

Base of skull superiorly, lateral limit of the sternohyoid muscle anteriorly, posterior border of the sternocleidomastoid muscle posteriorly, and level of the hyoid bone inferiorly

Level III

Level of the hyoid bone superiorly, lateral limit of the sternohyoid muscle anteriorly, the posterior border of sternocleidomastoid muscle posteriorly, and the omohyoid tendon inferiorly

Level IV

Omohyoid tendon superiorly, lateral limit of the sternohyoid muscle anteriorly, posterior border of the sternocleidomastoid muscle posteriorly, and clavicle inferiorly

Level V

Posterior border of sternocleidomastoid muscle anteriorly, anterior border of the trapezius muscle posteriorly, and clavicle inferiorly