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Review
. 2015 Jun;37(6):915-26.
doi: 10.1002/hed.23689. Epub 2014 Jun 30.

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

H Hakan Coskun  1 , Jesus E Medina  2 , K Thomas Robbins  3 , Carl E Silver  4 , Primož Strojan  5 , Afshin Teymoortash  6 , Phillip K Pellitteri  7 , Juan P Rodrigo  8   9 , Sandro J Stoeckli  10 , Ashok R Shaha  11 , Carlos Suárez  8   9 , Dana M Hartl  12   13 , Remco de Bree  14 , Robert P Takes  15 , Marc Hamoir  16 , Karen T Pitman  17 , Alessandra Rinaldo  18 , Alfio Ferlito  18
Affiliations
Review

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

H Hakan Coskun et al. Head Neck. 2015 Jun.

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.

Keywords: clinically negative neck; clinically positive neck; head and neck squamous cell carcinoma; neck dissection; neck metastasis.

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References

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