If the term level VII is to be used, it should refer to the extension of the chain of paratracheal nodes below the suprasternal notch (the dividing line between levels VI and VII) to the level of the innominate artery only. Alternatively, these nodes might be defined as the superior mediastinal lymph nodes above the level of the innominate artery.

Robbins KT, Shaha AR, Medina JE, et al. Consensus statement on the classification and terminology of neck dissection. Arch Otolaryngol Head Neck Surg. 2008 May. 134(5):536-8.


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