Current philosophy in the surgical management of neck metastases for head and neck squamous cell carcinoma
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Date
2015-06
Authors
Medina, Jesus E.
Robbins, K. Thomas
Silver, Carl E.
Strojan, Primoz
Teymoortash, Afshin
Pellitteri, Phillip K.
Rodrigo, Juan P.
Stoeckli, Sandro J.
Shaha, Ashok R.
Suarez, Carlos
Journal Title
Journal ISSN
Volume Title
Publisher
Wiley
Abstract
Neck dissection is an important treatment for metastases from upper aerodigestive carcinoma; an event that markedly reduces survival. Since its inception, the philosophy of the procedure has undergone significant change from one of radicalism to the current conservative approach. Furthermore, nonsurgical modalities have been introduced, and, in many situations, have supplanted neck surgery. The refinements of imaging the neck based on the concept of neck level involvement has encouraged new philosophies to evolve that seem to benefit patient outcomes particularly as this relates to diminished morbidity. The purpose of this review was to highlight the new paradigms for surgical removal of neck metastases using an evidence-based approach.
Description
Keywords
Clinically negative neck, Clinically positive neck, Head and neck squamous cell carcinoma, Neck dissection, Neck metastasis, Lymph-node metastases, Upper aerodigestive tract, Clinically negative neck, Accessory nerve function, Oral-cavity cancers, Selective neck, Level-IIb, Sentinel node, Elective neck, Oropharyngeal cancer, Otorhinolaryngology, Surgery
Citation
Coşkun, H. H. vd. (2015). "Current philosophy in the surgical management of neck metastases for head and neck squamous cell carcinoma". Head and Neck-Journal for the sciences and specialties of the head and neck, 37(6), 915-926.