Table 1.
Anatomical structures defining the boundaries of the cervical levels and sublevels
Boundary level | Superior | Inferior | Anterior (medial) | Posterior (lateral) |
---|---|---|---|---|
IA | Symphysis of mandible | Body of hyoid | Anterior belly of contralateral digastric muscle | Anterior belly of ipsilateral digastric muscle |
IB | Body of mandible | Posterior belly of diagastric muscle | Anterior belly of digastric muscle | Stylohyoid muscle |
IIA | Skull base | Horizontal plane defined by the inferior border of the hyoid bone | The stylohyoid muscle | Vertical plane defined by the spinal accessory nerve |
IIB | Skull base | Horizontal plane defined by the inferior body of the hyoid bone | Vertical plane defined by the spinal accessory nerve | Lateral border of the sternocleidomastoid muscle |
III | Horizontal plane defined by the inferior body of hyoid | Horizontal plane defined by the inferior border of the cricoid cartilage | Lateral border of the sternohyoid muscle | Lateral border of the sternocleidomastoid or sensory branches of cervical plexus |
IV | Horizontal plane defined by the inferior border of the cricoid cartilage | Clavicle | Lateral border of the sternohyoid muscle | Lateral border of the sternocleidomastoid or sensory branches of cervical plexus |
VA | Apex of the convergence of the sternocleidomastoid and trapezius muscles | Horizontal plane defined by the lower border of the cricoid cartilage | Posterior border of the sternocleidomastoid muscle or sensory branches of cervical plexus | Anterior border of the trapezius muscle |
VB | Horizontal plane defined by the lower border of the cricoids cartilage | Clavicle | Posterior border of the sternocleidomastoid muscle | Anterior border of the trapezius muscle |
VI | Hyoid bone | Suprasternal notch | Common carotid artery | Common carotid artery |
VII | Suprasternal notch | Innominate artery | Sternum | Trachea, esophagus, and prevertebral fascia |