title: [Maximizing nodal yield while minimizing surgical morbidity: the appropriate neck dissection].
abstract: Cervical regional lymphadenectomy, also known as neck dissection, is a fundamental procedure in head and neck surgery. Its evolution over 110 years resulted in a great deal of confusion in the literature and in clinical practice, due to the heterogenicity in training, classification and surgical techniques, which makes outcomes comparability virtually impossible. The authors aim to clarify this situation in a structured manner, in order to facilitate communication among all specialists involved in multidisciplinary head and neck cancer care. The ultimate goal is to make sure that each and every head and neck cancer patient receives their optimal treatment. Review of the history and literature with statistical comparison of the two mainstraim methods regarding their nodal yield results. The applied surgical technique has a significant impact on nodal yield. An appropriate surgical concept achieves maximum oncologic benefit, minimum surgical morbidity with optimized adjuvant indications. Orv. Hetil., 2016, 157(47), 1871-1879.
authors.affiliation: Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyak Sebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs.
authors.forename: István
authors.initials: I
authors.lastname: Háromi
authors.affiliation: Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyak Sebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs.
authors.forename: Imre
authors.initials: I
authors.lastname: Gerlinger
authors.affiliation: Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyak Sebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs.
authors.forename: László
authors.initials: L
authors.lastname: Lujber
authors.affiliation: Fül-Orr-Gégészeti, Fej-Nyak Sebészeti és Onkológiai Klinika, Hamburg-Eppendorf Egyetemi Klinikai Központ Martini str. 52., D-20246 Hamburg, Németország.
authors.forename: Balázs Bendegúz
authors.initials: BB
authors.lastname: Lőrincz
mesh_terms: D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods* / Q000592:standards; D008207:Lymphatic Metastasis; D037981:Neck Dissection / Q000379:methods* / Q000592:standards
keywords: cervical fascia; fej-nyaki daganatok; head and neck cancer; neck dissection; nodal yield; nyaki dissectio; nyaki fascia; nyirokcsomóhozam; sebészi stádiummeghatározás; surgical staging