Efficacy of Selective Neck Dissection: A Review of 503 Cases of Elective and Therapeutic Treatment of the Neck in Squamous Cell Carcinoma of the Upper Aerodigestive Tract

  title={Efficacy of Selective Neck Dissection: A Review of 503 Cases of Elective and Therapeutic Treatment of the Neck in Squamous Cell Carcinoma of the Upper Aerodigestive Tract},
  author={Petra Ambrosch and Martina Kron and Olivier Pradier and Wolfgang Steiner},
  journal={Otolaryngology–Head and Neck Surgery},
  pages={180 - 187}
OBJECTIVE: The purpose of this study was to evaluate the efficacy of selective neck dissection (SND) in elective and therapeutic treatment of the neck. METHODS: A retrospective review was undertaken of 503 previously untreated patients undergoing 711 SNDs as a part of initial therapy for squamous cell carcinoma of the larynx, oral cavity, oropharynx, and hypopharynx from August 1986 to June 1997 at a single institution. Lymph nodes were pathologically negative in 249 and positive in 254… 

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Effectiveness of Therapeutic Selective Neck Dissection in Laryngeal Cancer

SND can represent a therapeutic procedure because it has shown oncological results comparable to those of comprehensive neck dissection, especially when SND is combined with adjuvant radiotherapy.

Impact of elective neck dissection vs observation on regional recurrence and survival in cN0-staged patients with squamous cell carcinomas of the upper aerodigestive tract.

A wait-and-see approach is justified in patients with early-stage disease and elective selective neck dissection should be considered in Patients with advanced cancer of the upper aerodigestive tract.

Selective neck dissection for treating node-positive necks in cases of squamous cell carcinoma of the upper aerodigestive tract.

SND may be a good option for treating node-positive necks in selected cases and observed that patients with pharyngeal SCC and older patients presented worse evolution and would probably not be suitable candidates for SND.

Nodal control and surgical salvage after primary radiotherapy in 1 782 patients with laryngeal and pharyngeal carcinoma

The conclusions were that in patients with nodal recurrence a little over half were treated and of these a third of the nodalRecurrence were controlled and significant prognostic factors in multivariate analysis were gender, region of origin, N-classification, and tumor differentiation.

Therapeutic selective neck dissection (level II–V) for node-positive hypopharyngeal carcinoma: is it oncologically safe?

It is suggested that routine level I dissection may not be necessary in the surgical management of clinically N + hypopharyngeal squamous cell carcinoma (SCC) in patients who do not have a positive lymph node in neck level I.

Selective Neck Dissection in Patients with Upper Aerodigestive Tract Cancer with Clinically Positive Nodal Disease

The application of selective neck dissection and postoperative irradiation in patients with clinically N1 and limited N2 clinical disease appears to be oncologically efficacious, and may put patients at risk for more morbid surgical procedures.

Factors influencing outcomes in selective neck dissection in 661 patients with head and neck squamous cell carcinoma

The dissection of ipsilateral level I in oral cavity cancer was of particular relevance in this exploratory, retrospective analysis and should be investigated prospectively in a more homogenous patient cohort.

Elective neck dissection during surgery for advanced glottic carcinoma with a clinically negative neck: Analysis of lymph node yield and early post-surgical outcomes.

Lymph node yield and ratio directly influence the prognosis and postoperative outcomes and could be considered in staging of patients with advanced glottic carcinoma with clinically negative neck.

Management of the N0 neck in moderately advanced squamous carcinoma of the larynx

  • F. DiasR. Lima J. Kligerman
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2009



Rationale for elective modified neck dissection.

The total number of nodes removed, the number of positive nodes with or without extracapsular invasion, and the anatomic location of the positive nodes were correlated with the type of dissection, the stage and site of the primary cancer, the use of postoperative radiotherapy, the regional (neck) failure, and survival.

Is selective neck dissection sufficient treatment for the N0/Np+ neck?

Selective neck dissection does not compromise survival and may minimize surgical morbidity in the N0/Np+ population.

Patterns of cervical node metastases from squamous carcinoma of the larynx.

Analysis of previously untreated consecutive patients with primary squamous cell carcinoma of the supraglottic or glottic larynx from 1965 to 1986 revealed a predominance of neck node metastases in levels II, III, and IV for all clinical neck groups, which support the trend toward selective limited neck dissection in both NO and N1 patients.

Failure in the neck following multimodality treatment for advanced head and neck cancer.

Comparison of data with historical control group suggests a decrease in the number of failures in the neck when a multimodality treatment is used, however, it appears that irradiation must be started within 6 weeks after surgery for the best results.

Supraomohyoid neck dissection.