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

doi:10.1002/hed.23689

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

School of Medicine

Research output: Contribution to journal › Article › peer-review

38 Scopus citations

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 language	English (US)
Pages (from-to)	915-926
Number of pages	12
Journal	Head and Neck
Volume	37
Issue number	6
DOIs	https://doi.org/10.1002/hed.23689
State	Published - 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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10.1002/hed.23689

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Coskun, H. H., Medina, J. E., Robbins, K. T., Silver, C. E., Strojan, P., Teymoortash, A., Pellitteri, P. K., Rodrigo, J. P., Stoeckli, S. J., Shaha, A. R., Suárez, C., Hartl, D. M., De Bree, R., Takes, R. P., Hamoir, M., Pitman, K. T., Rinaldo, A., & Ferlito, A. (2015). Current philosophy in the surgical management of neck metastases for head and neck squamous cell carcinoma. Head and Neck, 37(6), 915-926. https://doi.org/10.1002/hed.23689

Coskun, HH, Medina, JE, Robbins, KT, Silver, CE, Strojan, P, Teymoortash, A, Pellitteri, PK, Rodrigo, JP, Stoeckli, SJ, Shaha, AR, Suárez, C, Hartl, DM, De Bree, R, Takes, RP, Hamoir, M, Pitman, KT, Rinaldo, A & Ferlito, A 2015, 'Current philosophy in the surgical management of neck metastases for head and neck squamous cell carcinoma', Head and Neck, vol. 37, no. 6, pp. 915-926. https://doi.org/10.1002/hed.23689

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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.",

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AU - Medina, Jesus E.

AU - Robbins, K. Thomas

AU - Silver, Carl E.

AU - Strojan, Primož

AU - Teymoortash, Afshin

AU - Pellitteri, Phillip K.

AU - Rodrigo, Juan P.

AU - Stoeckli, Sandro J.

AU - Shaha, Ashok R.

AU - Suárez, Carlos

AU - Hartl, Dana M.

AU - De Bree, Remco

AU - Takes, Robert P.

AU - Hamoir, Marc

AU - Pitman, Karen T.

AU - Rinaldo, Alessandra

AU - Ferlito, Alfio

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AB - 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.

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KW - clinically positive neck

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KW - neck dissection

KW - neck metastasis

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

Abstract

Keywords

ASJC Scopus subject areas

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