Elective and therapeutic selective neck dissection.
Selective neck dissection is a modification of the more comprehensive modified radical or radical neck dissection that is designed to remove only those nodal levels considered to be at risk for harboring nodal metastases. The role of selective neck dissection continues to evolve: while initially designed as a staging and diagnostic procedure for patients without clinical evidence of nodal disease, a growing body of literature suggests that selective neck dissection has a therapeutic role in patients with clinical and histologic evidence of nodal metastases. The rationale behind selective neck dissection, its application in the clinically negative but histologically node-positive neck and the extended application of selective neck dissection in patients with clinical evidence of nodal disease are discussed.
Ferlito
Alfio
A
Department of Surgical Sciences, ENT Clinic, University of Udine, Policlinico Universitario, Piazzale S. Maria della Misericordia, 33100 Udine, Italy. a.ferlito@uniud.it
Rinaldo
Alessandra
A
Silver
Carl E
CE
Gourin
Christine G
CG
Shah
Jatin P
JP
Clayman
Gary L
GL
Kowalski
Luiz P
LP
Shaha
Ashok R
AR
Robbins
K Thomas
KT
Suárez
Carlos
C
Leemans
C René
CR
Ambrosch
Petra
P
Medina
Jesus E
JE
Weber
Randal S
RS
Genden
Eric M
EM
Pellitteri
Phillip K
PK
Werner
Jochen A
JA
Myers
Eugene N
EN
D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000601:surgery*; D017558:Elective Surgical Procedures; D006258:Head and Neck Neoplasms / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008207:Lymphatic Metastasis / Q000517:prevention & control; D037981:Neck Dissection / Q000009:adverse effects / Q000379:methods*; D011788:Quality of Life