| Literature DB >> 24623715 |
H Hakan Coskun1, Jesus E Medina2, K Thomas Robbins3, Carl E Silver4, Primož Strojan5, Afshin Teymoortash6, Phillip K Pellitteri7, Juan P Rodrigo8,9, Sandro J Stoeckli10, Ashok R Shaha11, Carlos Suárez8,9, Dana M Hartl12,13, Remco de Bree14, Robert P Takes15, Marc Hamoir16, Karen T Pitman17, Alessandra Rinaldo18, Alfio Ferlito18.
Abstract
Neck 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.Entities:
Keywords: clinically negative neck; clinically positive neck; head and neck squamous cell carcinoma; neck dissection; neck metastasis
Mesh:
Year: 2014 PMID: 24623715 PMCID: PMC4991629 DOI: 10.1002/hed.23689
Source DB: PubMed Journal: Head Neck ISSN: 1043-3074 Impact factor: 3.147