Neck dissection: Then and now

Ferlito, Alfio; Rinaldo, Alessandra; Silver, Carl E.; Shah, Jatin P.; Suárez, Carlos; Medina, Jesús E.; Kowalski, Luiz Paulo; Johnson, Jonas T.; Strome, Marshall; Rodrigo, Juan P.; Werner, Jochen A.; Takes, Robert P.; Towpik, Edward; Robbins, K. Thomas; Leemans, C. René; Herránz, Jesús; Gavilán, Javiér; Shaha, Ashok R.; Wei, William I.

doi:10.1016/j.anl.2006.06.001

Cited by 110 publications

(79 citation statements)

References 82 publications

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“…It is therefore imperative that surgeons should pay close attention to their techniques so as to minimize the morbidities. The complications that can arise from neck dissection include haemorrhage, air embolism, pneumothorax, chyle leak, facial edema, cervical fistula, limitation of shoulder movement (Frozen shoulder), paresthesia, and chronic neck and shoulder pain and carotid blow out [49,60,69,139].…”

Section: Discussionmentioning

confidence: 99%

“…In the 19 th century, lymphatic metastasis in patients with head and neck cancer was considered by many surgeons as a sign of an incurable disease [49]. The removal of individual lymph node metastases with the resection of the primary tumor presented a less effective therapeutic outcome in the patients at that time.…”

Section: The Development Of Surgical Procedures For the Treatment Of mentioning

confidence: 99%

“…The morbidity and complications associated with radical neck dissection (RND) is high [49]. In order to reduce this morbidity associated with RND, a modification of the classic RND was developed at the beginning of 20 th century by surgeons so as to maintain function and at the same time not compromising oncologic treatment outcome [9,96].…”

Section: The Development Of Surgical Procedures For the Treatment Of mentioning

confidence: 99%

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A meta-analysis of the randomized controlled trials on elective neck dissection versus therapeutic neck dissection in oral cavity cancers with clinically node-negative neck

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Section: The Development Of Surgical Procedures For the Treatment Of mentioning

confidence: 99%

Section: The Development Of Surgical Procedures For the Treatment Of mentioning

confidence: 99%

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A meta-analysis of the randomized controlled trials on elective neck dissection versus therapeutic neck dissection in oral cavity cancers with clinically node-negative neck

et al. 2011

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“…Ever since Crile described the radical neck dissection in 1906 [3] , surgeons have devised more and more functionally conservative and yet oncologically safe neck dissections [4]. The aim of these selective neck dissections was to ensure clearance and loco-regional control and reducing morbidity.…”

Section: Introductionmentioning

confidence: 99%

Level IIb Neck Dissection in Oral Cavity Cancers- When Should One Address it..?

Dabholkar

Kapre

2015

Indian J Surg Oncol

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Nodal metastases is the most important prognostic marker for oral cavity cancers. Nodal dissection at level IIb risks damage to the spinal accessory nerve. We aim to study positivity of level IIb lymph nodes in oral cancers. In this non-randomized prospective observational study, 65 patients of oral cavity cancers were evaluated. Appropriate surgery for primary tumour and neck dissection were undertaken. All patients underwent level II b dissection. Out of 67 neck dissections (27 elective and 40 therapeutic), 7 patients had level IIb positive for metastases (10.44 %) with no isolated or contralateral metastases at level IIb and direct correlation with level IIa nodes. There was no statistical association of level IIb positivity with stage or site of primary. Level IIb dissection can be avoided in N0 necks. For therapeutic neck dissections, Level IIb should be cleared if there are positive nodes at level IIa.

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“…A recent editorial concluded that ''It will take a lot of work before we know if endoscopic neck dissection is a good, oncologic operation, but the trip to learn such a truth should be interesting'' (Richtsmeier, 2003). At present, however, this procedure has not achieved widespread acceptance in clinical practice (Ferlito et al, 2006 …”

Section: Endoscopic Neck Dissectionmentioning

confidence: 99%