To determine whether superselective neck dissection (removal of 2 or less contiguous neck levels) is effective salvage surgery for patients with residual singlelevel adenopathy after concomitant intra-arterial cisplatin and radiotherapy.Design: Analysis of prospectively collected data.
Subjects:The study group comprised 177 patients (239 heminecks) with N ϩ disease.Interventions: Intra-arterial treatment with cisplatin (150 mg/m 2 ) on days 1, 8, 15, and 22 and radiation therapy (2 Gy/d) 5 times per week for 7 weeks. Comparisons were made between neck-level-specific disease at restaging and pathologic disease after neck dissection.Results: Tumor sites included oropharynx (n =81), hypopharynx (39), larynx (n=27), oral cavity (n =19), and other (n=11). Response of nodal disease based on clinical evaluation was as follows: complete response, 89 patients (50%); partial response, 81 patients (46%); pro-