Clare Schilling1, Sando J Stoeckli2, Maurizio G Vigili3, Remco de Bree4, Stephen Y Lai5, Julio Alvarez6, Anders Christensen7, David M Cognetti8, Anil K D'Cruz9, Bernhard Frerich10, Renaud Garrel11, Naoyuki Kohno12, Willem Martin Klop13, Cyrus Kerawala14, Georges Lawson15, Jeremy McMahon16, Isabel Sassoon17, Richard J Shaw18, Jesper F Tvedskov7, Christian von Buchwald7, Mark McGurk1. 1. Head and Neck Academic Centre, Department of Head and Neck Surgery, University College London Hospital, London, UK. 2. Department of Otorhinolaryngology-Head and Neck Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland. 3. Department of Otorhinolaryngology-Head and Neck Surgery, Ospedale San Carlo, Rome, Italy. 4. Department of Head and Neck Surgical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands. 5. Department Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas. 6. Department of Oral and Maxillofacial Surgery, Cruces University Hospital, Bilbao, Spain. 7. Department of Otolaryngology, Head & Neck Surgery and Audiology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. 8. Department of Otolaryngology-Head & Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania. 9. Department of Head and Neck Surgery, Tata Memorial Hospital, Mumbai, India. 10. Department of Oral and Maxillofacial Surgery, Facial Plastic Surgery, University Medical Centre Rostock, Rostock, Germany. 11. Department of Head and Neck Surgery, University Hospital, Montpellier, France. 12. Department of Otolaryngology-Head and Neck Surgery, Kyorin University School of Medicine, Tokyo, Japan. 13. Department of Head and Neck Oncology/Surgery, Netherlands Cancer Institute/Antoni van Leeuwenhoek, Amsterdam, The Netherlands. 14. Department of Head and Neck Surgery, The Royal Marsden NHS Foundation Trust, London, UK. 15. Department of Head and Neck Surgery, Université Catholique de Louvain, CHU UCL Namur, Namur, Belgium. 16. Department of Head and Neck Surgery, Southern General Hospital, Glasgow, Scotland. 17. Department of Infomatics, Kings College London, London, UK. 18. Institute of Translational Medicine, University of Liverpool, Cancer Research Centre, Liverpool, UK.
Abstract
BACKGROUND: The eighth international symposium for sentinel node biopsy (SNB) in head and neck cancer was held in 2018. This consensus conference aimed to deliver current multidisciplinary guidelines. This document focuses on the surgical aspects of SNB for oral cancer. METHOD: Invited expert faculty selected topics requiring guidelines. Topics were reviewed and evidence evaluated where available. Data were presented at the consensus meeting, with live debate from panels comprising expert, nonexpert, and patient representatives followed by voting to assess the level of support for proposed recommendations. Evidence review, debate, and voting results were all considered in constructing these guidelines. RESULTS/ CONCLUSION: A range of topics were considered, from patient selection to surgical technique and follow-up schedule. Consensus was not achieved in all areas, highlighting potential issues that would benefit from prospective studies. Nevertheless these guidelines represent an up-to-date pragmatic recommendation based on current evidence and expert opinion.
BACKGROUND: The eighth international symposium for sentinel node biopsy (SNB) in head and neck cancer was held in 2018. This consensus conference aimed to deliver current multidisciplinary guidelines. This document focuses on the surgical aspects of SNB for oral cancer. METHOD: Invited expert faculty selected topics requiring guidelines. Topics were reviewed and evidence evaluated where available. Data were presented at the consensus meeting, with live debate from panels comprising expert, nonexpert, and patient representatives followed by voting to assess the level of support for proposed recommendations. Evidence review, debate, and voting results were all considered in constructing these guidelines. RESULTS/ CONCLUSION: A range of topics were considered, from patient selection to surgical technique and follow-up schedule. Consensus was not achieved in all areas, highlighting potential issues that would benefit from prospective studies. Nevertheless these guidelines represent an up-to-date pragmatic recommendation based on current evidence and expert opinion.
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