Current philosophy in the surgical management of neck metastases for head and neck squamous cell carcinoma

H. Hakan Coskun, Jesus E. Medina, K. Thomas Robbins, Carl E. Silver, Primož Strojan, Afshin Teymoortash, Phillip K. Pellitteri, Juan P. Rodrigo, Sandro J. Stoeckli, Ashok R. Shaha, Carlos Suárez, Dana M. Hartl, Remco De Bree, Robert P. Takes, Marc Hamoir, Karen T. Pitman, Alessandra Rinaldo, Alfio Ferlito

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)915-926
Number of pages12
JournalHead and Neck
Volume37
Issue number6
DOIs
StatePublished - Jun 1 2015

Keywords

  • clinically negative neck
  • clinically positive neck
  • head and neck squamous cell carcinoma
  • neck dissection
  • neck metastasis

ASJC Scopus subject areas

  • Otorhinolaryngology

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