Effectiveness of selective neck dissection for management of the clinically negative neck

Karen T. Pitman, Jonas T. Johnson, Eugene N. Myers

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To determine the effectiveness of selective neck dissection for management of the clinically negative neck in head and neck squamous cell carcinoma. Design: A retrospective comparison of patients treated electively with selective neck dissection and comprehensive neck dissection. Setting: Academic tertiary referral center. Patients: Patients with clinically negative necks and previously untreated head and neck squamous cell carcinoma. Intervention: Elective neck dissection, surgical treatment of the primary lesion, and postoperative radio therapy as indicated. Outcome Measures: Regional recurrence, distant metastasis, and disease-free survival. Results: Selective neck dissection was as effective as comprehensive procedures for staging the clinically negative neck. Occult metastases had a statistically significant effect on patient outcome as measured by distant metastasis. Conclusion: Elective neck dissection provides invaluable staging information- which guides the decision for adjuvant therapy.

Original languageEnglish (US)
Pages (from-to)917-922
Number of pages6
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume123
Issue number9
DOIs
StatePublished - Sep 1997
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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