title: Superselective neck dissection: rationale, indications, and results.
abstract: It has been established that an appropriately indicated selective neck dissection can achieve the same oncologic results as more extensive dissections. An even more modified selective neck dissection, termed superselective neck dissection, involves the compartmental removal of the fibrofatty tissue contents within the defined boundaries of two or fewer contiguous neck levels. Evidence from retrospective studies suggests that superselective neck dissection (SSND) is oncologically sound for two indications: elective treatment of the clinically N0 neck and salvage treatment of persistent lymph node disease after chemoradiotherapy. While there is broader support for the former scenario, evidence that SSND may constitute optimal treatment in the latter is in conformity with the trend toward developing surgical techniques that provide better functional outcomes without compromising efficacy.
authors: Department of Otolaryngology, Hospital Universitario Central de Asturias, Oviedo, Spain.
authors: Carlos
authors: C
authors: Suárez
authors: Juan P
authors: JP
authors: Rodrigo
authors: K Thomas
authors: KT
authors: Robbins
authors: Vinidh
authors: V
authors: Paleri
authors: Carl E
authors: CE
authors: Silver
authors: Alessandra
authors: A
authors: Rinaldo
authors: Jesus E
authors: JE
authors: Medina
authors: Marc
authors: M
authors: Hamoir
authors: Alvaro
authors: A
authors: Sanabria
authors: Vanni
authors: V
authors: Mondin
authors: Robert P
authors: RP
authors: Takes
authors: Alfio
authors: A
authors: Ferlito
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008198:Lymph Nodes / Q000601:surgery*; D008207:Lymphatic Metastasis; D037981:Neck Dissection / Q000379:methods*; D000077195:Squamous Cell Carcinoma of Head and Neck; D016896:Treatment Outcome