Neck Dissection Classification Update

Prevalence, incidence, and risk factors for shoulder and neck dysfunction after neck dissection: A systematic review

“…Surgical management may include the removal of lymph nodes from the neck, referred to as a neck dissection (ND). The most aggressive form of this procedure is the radical ND (RND) [1], whereby the accessory nerve (CNXI), sternocleidomastoid muscle and internal jugular vein (in addition to lymph nodes) are excised. It is therefore feasible that patients may experience variable degrees of shoulder and neck dysfunction following RND.…”

“…In addition to any other discrepancies between studies, inconsistencies between studies in use of terms such as "extended radical neck dissection" and "super selective neck dissection" without clear anatomical description further complicated any attempt to generate pooled effect estimates using meta-analyses. The choice to use the ND classification system advocated by Robbins and colleagues [1,12,14] instead of the more recent recommendations by the International Head and Neck Scientific Group [15] was made because the included studies used the Robbins and colleagues system. We do not anticipate any impact on the findings of this review because of this choice.…”

Quantitative analysis of lymph nodes in neck dissection specimens. Morphologic study

“…Microscopic analysis were accessed by the same pathologist for histological confirmation of the manually dissected LNs. To be considered a LN, microscopically the structure should be described as an encapsulated lymphoid tissue aggregate with a marginal sinus 2,11 .…”

Value of 18F-FDG heterogeneity for discerning metastatic from benign lymph nodes in nasopharyngeal carcinoma patients with suspected recurrence

“…5,6 This diagnostic modality is useful for detecting metastatic disease, defining the extent of neck nodal disease and evaluating treatment response. 6 Above all, 18 F-FDG PET is the modality of choice for identifying and differentiating recurrence from postradiation change. 5 Meta-analyses comparing the performance of 18 F-FDG PET, CT and MRI have reported a superior diagnostic accuracy of PET for detecting recurrence.…”

“…6 Above all, 18 F-FDG PET is the modality of choice for identifying and differentiating recurrence from postradiation change. 5 Meta-analyses comparing the performance of 18 F-FDG PET, CT and MRI have reported a superior diagnostic accuracy of PET for detecting recurrence. 7 However, there remain limitations in identifying recurrence by 18 F-FDG uptake alone.…”