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Vascular Anatomy of the Nose and the External Rhinoplasty Approach-Reply

Vascular Anatomy of the Nose and the External Rhinoplasty Approach-Reply Abstract In response to the above letter to the editor, we acknowledge that there may be some confusion about the terminology of the lymph nodes draining the supratip region of the nose. However, the reasoning for not describing a specific lymph node is owing to some of the limitations of the radionuclide scanning techniques that were used in this study.1 The radionuclide injections (technetium Tc 99m bound to antimony trisulfide colloid) used for lymphoscintigraphy were placed intradermally and probably did drain into the superficial, cutaneous papillary network described in Goepfert's letter. In our study, we noted that the lymphatics followed the external maxillary blood vessels (facial blood vessels) at the inferior part of the face to drain toward the submaxillary lymph nodes. The confusion occurs with the terminology used to describe the first set of lymph nodes between the lateral wall of the nose and the submaxillary nodes. We considered describing References 1. Toriumi DM, Mueller RA, Grosch T, Bhattacharyya TK, Larrabee WF. Vascular anatomy of the nose and the external rhinoplasty approach . Arch Otolaryngol Head Neck Surg . 1996;122:24-34.Crossref 2. Evans RW, Cruickshank AH. Epithelial Tumors of the Salivary Glands . Philadelphia, Pa: WB Saunders Co; 1970:5. 3. Rosenfeld RM. Cervical adenopathy . In: Bluestone CD, Stool SE, Kenna MA, eds. Pediatric Otolaryngology . Philadelphia, Pa: WB Saunders Co; 1996: 1513. 4. Nicholson GW. Studies on tumour formation . Guys Hosp Rep . 1922;72:333-358. 5. Grossman JW, Hedrick D. Metastatic epidermoid carcinoma in the preparotid lymph nodes . Rocky Mountain Med J . 1967;64:68-70. 6. Blakeslee EB, Becker GD, Simpson GT, Patten DH, Sprengelmeyer J. Lymphoscintigraphy of the neck . Otolaryngol Head Neck Surg . 1985;93:361-365. 7. Thommesen P, Buhl J, Jensen K, Funch-Jensen P. Lymphoscintigraphy in the head and neck in normals diagnostic value . Fortschr Rontgenstr . 1981;134: 80-82.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Vascular Anatomy of the Nose and the External Rhinoplasty Approach-Reply

Abstract

Abstract In response to the above letter to the editor, we acknowledge that there may be some confusion about the terminology of the lymph nodes draining the supratip region of the nose. However, the reasoning for not describing a specific lymph node is owing to some of the limitations of the radionuclide scanning techniques that were used in this study.1 The radionuclide injections (technetium Tc 99m bound to antimony trisulfide colloid) used for lymphoscintigraphy were placed intradermally...
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/lp/american-medical-association/vascular-anatomy-of-the-nose-and-the-external-rhinoplasty-approach-kpfiLlTeEv
Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1996.01890230118024
Publisher site
See Article on Publisher Site

Abstract

Abstract In response to the above letter to the editor, we acknowledge that there may be some confusion about the terminology of the lymph nodes draining the supratip region of the nose. However, the reasoning for not describing a specific lymph node is owing to some of the limitations of the radionuclide scanning techniques that were used in this study.1 The radionuclide injections (technetium Tc 99m bound to antimony trisulfide colloid) used for lymphoscintigraphy were placed intradermally and probably did drain into the superficial, cutaneous papillary network described in Goepfert's letter. In our study, we noted that the lymphatics followed the external maxillary blood vessels (facial blood vessels) at the inferior part of the face to drain toward the submaxillary lymph nodes. The confusion occurs with the terminology used to describe the first set of lymph nodes between the lateral wall of the nose and the submaxillary nodes. We considered describing References 1. Toriumi DM, Mueller RA, Grosch T, Bhattacharyya TK, Larrabee WF. Vascular anatomy of the nose and the external rhinoplasty approach . Arch Otolaryngol Head Neck Surg . 1996;122:24-34.Crossref 2. Evans RW, Cruickshank AH. Epithelial Tumors of the Salivary Glands . Philadelphia, Pa: WB Saunders Co; 1970:5. 3. Rosenfeld RM. Cervical adenopathy . In: Bluestone CD, Stool SE, Kenna MA, eds. Pediatric Otolaryngology . Philadelphia, Pa: WB Saunders Co; 1996: 1513. 4. Nicholson GW. Studies on tumour formation . Guys Hosp Rep . 1922;72:333-358. 5. Grossman JW, Hedrick D. Metastatic epidermoid carcinoma in the preparotid lymph nodes . Rocky Mountain Med J . 1967;64:68-70. 6. Blakeslee EB, Becker GD, Simpson GT, Patten DH, Sprengelmeyer J. Lymphoscintigraphy of the neck . Otolaryngol Head Neck Surg . 1985;93:361-365. 7. Thommesen P, Buhl J, Jensen K, Funch-Jensen P. Lymphoscintigraphy in the head and neck in normals diagnostic value . Fortschr Rontgenstr . 1981;134: 80-82.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Nov 1, 1996

References

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