Wharton Duct Ligation During Level 1B Dissection

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • Ligation of Whartons duct in the mylohyoid-hyoglossal hiatus during submaxillectomy requires prior exposure of the lingual and hypoglossal nerves
  • Landmarks:
    • 1. Submandibular canal
    • 2. Hypoglossal nerve
    • 3. Lingual nerve
    • 4. Eardrum cord
    • 5. Mylohyoid nerve
    • 6. Submental artery
    • 7. Frog veins (“of the hypoglossus”)
    • 8. Hyoglossal muscle (floor of the submandibular triangle)
    • 9. Anterior belly of the digastric muscle
    • 10. Facial artery
    • 11. Facial vein
    • 12. Posterior belly of the digastric muscle
    • 13. Projection of Jaffe’s mandibular marginal nerve
    • 14. Hayes-Martin manoeuvre
    • 15. Platysma muscle
    • 16. Sector of the venous vascular lamina over the hyoglossal muscle
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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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