Recurrent nodal metastases in the posterior triangle: Implications for treatment of the atypical tumour

Brennan, P.A.; Hoffman, GR; Mackenzie, N; Ethunandan, Madan; Boote, D.J.; Mellor, T.K.; Davis, Andrew A.

doi:10.1016/j.bjoms.2005.03.023

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“…They reported that 41 patients (26%) developed recurrent metastasis out of 177 neck dissections in the neck and only four of them (3%) were in level V. In these four patients, level III or IV lymph nodes were shown histologically to have extracapsular spread at the time of the original dissection. None of the metastases at level V were from oral or oropharyngeal primary tumors 17. According to Davidson, obvious involvement of level IV must exist to dissect level V 10.…”

Section: Discussionmentioning

confidence: 99%