Medina, Jesus E.Robbins, K. ThomasSilver, Carl E.Strojan, PrimozTeymoortash, AfshinPellitteri, Phillip K.Rodrigo, Juan P.Stoeckli, Sandro J.Shaha, Ashok R.Suarez, CarlosHartl, Dana M.De Bree, RemcoTakes, Robert P.Hamoir, MarcPitman, Karen T.Rinaldo, AlessandraFerlito, Alfio2022-05-302022-05-302015-06Coşkun, 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), 915-926.1043-3074https://doi.org/10.1002/hed.23689https://onlinelibrary.wiley.com/doi/10.1002/hed.23689http://hdl.handle.net/11452/26778Neck 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.eninfo:eu-repo/semantics/openAccessClinically negative neckClinically positive neckHead and neck squamous cell carcinomaNeck dissectionNeck metastasisLymph-node metastasesUpper aerodigestive tractClinically negative neckAccessory nerve functionOral-cavity cancersSelective neckLevel-IIbSentinel nodeElective neckOropharyngeal cancerOtorhinolaryngologySurgeryCarcinoma, squamous cellDisease-free survivalEvidence-based medicineFemaleHead and neck neoplasmsHumansLymph node excisionLymph nodesLymphatic metastasisMaleNeck dissectionPrognosisRisk assessmentSurvival analysisTreatment outcomeReview0003550120000252-s2.0-8492994466491592637624623715OtorhinolaryngologySurgeryNeck Dissection; Squamous Cell Carcinoma Of Head And Neck; Sentinel Lymph Node BiopsyAntineoplastic agentArticleChemoradiotherapyEvidence based practiceHead and neck squamous cell carcinomaHumanHypopharynx carcinomaLarynx squamous cell carcinomaNeck dissectionNeck metastasisOropharynx carcinomaPhilosophyPredictive valuePriority journalCarcinoma, squamous cellDisease free survivalEvidence based medicineFemaleHead and Neck NeoplasmsLymph nodeLymph node dissectionLymph node metastasisMaleMortalityNeck dissectionPathologyProceduresPrognosisRisk assessmentSecondarySurvival analysisTreatment outcome