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Elective modified neck dissection for treatment of the clinically negative (N0) neck

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Head and Neck Cancer

Part of the book series: Cancer Treatment and Research ((CTAR,volume 74))

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Abstract

Radical neck dissection was the dominant surgical procedure for treatment of metastatic head and neck cancer in the cervical lymph nodes for much of the 20th century. Proponents of radical neck dissection, such as George Crile, Sr. [1] and Hayes Martin [2], maintained the Halsteadian principle that oncologically sound surgical management of metastasis requires en bloc resection of lymph nodes and surrounding soft-tissue structures. While radical neck dissection provides effective control of regional metastasis, major cosmetic and functional deficits often accompany the procedure.

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References

  1. Crile G. Excision of cancer of the head and neck. JAMA 47:1780–1786, 1906.

    Article  Google Scholar 

  2. Martin H, Del Valle B, Ehrlich H, et al. Neck dissection. Cancer 4:441–499, 1951.

    Article  PubMed  CAS  Google Scholar 

  3. Warren JM. Surgical Observations with Cases and Operations. Boston: Ticknor and Fields, 1867.

    Google Scholar 

  4. Kocher T. Ãœber radicalheilung d. krebses, Deutsch Ztschr Chir 12:134, 1880.

    Article  Google Scholar 

  5. Butlin HT, Spencer WG. Diseases of the Tongue. London: Cassell and Company, 1900.

    Google Scholar 

  6. Blair VP, Brown JB. The treatment of cancerous or potentially cancerous cervical lymph nodes. Ann Surg 98:650–651, 1933.

    Article  PubMed  CAS  Google Scholar 

  7. Skolnick EM, Tenta LT, Wineinger DM, et al. Preservation of XI cranial nerve in neck dissections. Laryngoscope 77:1304–1314, 1967.

    Article  Google Scholar 

  8. Roy PH, Beahrs OH. Spinal accessory nerve in radical neck dissections. Am J Surg 118:800–804, 1969.

    Article  PubMed  CAS  Google Scholar 

  9. Jesse RH, Ballantyne AJ, Larson D. Radical or modified neck dissection: A therapeutic dilemma. Am J Surg 136:516–519, 1978.

    Article  PubMed  CAS  Google Scholar 

  10. Bocca E, Pignataro O. A conservation technique in radical neck dissection. Ann Otol Rhinol Laryngol 76:975–988, 1967.

    PubMed  CAS  Google Scholar 

  11. Khafif RA, Gelbfish GA, Asase DK, et al. Modified radical neck dissection in cancer of the mouth, pharynx, and larynx. Head Neck 12:476–482, 1990.

    Article  PubMed  CAS  Google Scholar 

  12. Remmler D, Scheetz J, Byers R, et al. Morbidity of modified neck dissection. In: DL Larson, AJ Ballantyne, OM Guillamondegui, eds. Cancer in the Neck: Evaluation and Treatment. New York: Macmillan, 1986.

    Google Scholar 

  13. Schuller D. Morbidity of radical neck dissection. In: DL Larson, AJ Ballantyne, OM Guillamondegui, eds. Cancer in the Neck: Evaluation and Treatment. New York: Macmillan, 1986.

    Google Scholar 

  14. Torti RA, Ballantyne AJ, Berkley RG. Sudden blindness after simultaneous bilateral radical neck dissection. Arch Surg 8:271–137, 1964.

    Article  Google Scholar 

  15. Johnson JT, Barnes EL, Myers EN, et al. Extracapsular spread of tumors in cervical node metastasis. Arch Otolaryngol 107:725–729, 1981.

    Article  PubMed  CAS  Google Scholar 

  16. Shah JP, Candela FC, Poddar AK. The patterns of cervical lymph node metastases from squamous carcinoma of the oral cavity. Cancer 66:109–113, 1990.

    Article  PubMed  CAS  Google Scholar 

  17. Rouviere H. Anatomy of the Human Lymphatic system, No. 2. Ann Arbor, MI: Edwards Brothers, 1938.

    Google Scholar 

  18. Fisch UP, Sigel ME. Cervical lymphatic system as visualized by lymphography. Ann Otol Rhinol Laryngol 73:869–882, 1964.

    Google Scholar 

  19. Lindberg R. Distribution of cervical lymph node metastases from squamous cell carcinoma of the upper respiratory and digestive tracts. Cancer 29:1446–1449, 1972.

    Article  PubMed  CAS  Google Scholar 

  20. Ballantyne AJ. Significance of retropharyngeal nodes in cancer of the head and neck. Am J Surg 108:500, 1964.

    Article  PubMed  CAS  Google Scholar 

  21. Olsen KD, DeSanto LW, Pearson BW. Positive Delphian lymph node: Clinical significance in laryngeal cancer. Laryngoscope 97:1033–1037, 1987.

    Article  PubMed  CAS  Google Scholar 

  22. Weber RS, Marvel J, Smith P, et al. Paratracheal metastastic squamous carcinoma in patients requiring total laryngectomy. Otolaryngol Head Neck Surg, 1993, in press.

    Google Scholar 

  23. Ballantyne AJ. Modified neck dissection. In: IT Jackson, BC Sommerlad, eds. Recent Advances in Plastic Surgery. Edinburgh: Churchill Livingstone, 1985.

    Google Scholar 

  24. Fletcher GH. Elective irradiation of subclinical disease in cancers of the head and neck. Cancer 29:1450–1454, 1972.

    Article  PubMed  CAS  Google Scholar 

  25. Strong EW. Preoperative radiation and radical neck dissection. Surg Clin North Am 49:271–276, 1969.

    PubMed  CAS  Google Scholar 

  26. Huang DT, Johnson CR, Schmidt-Ullrich R, et al. Postoperative radiotherapy in head and neck carcinoma with extracapsular lymph node extension and/or positive resection margins: A comparative study. Int J Radiat Oncol Biol Phys 23:737–742, 1992.

    Article  PubMed  CAS  Google Scholar 

  27. Byers RM. Modified neck dissection: A study of 967 cases from 1970–1980. Am J Surg 150:414–421, 1985.

    Article  PubMed  CAS  Google Scholar 

  28. Medina JE, Byers RM. Supraomohyoid neck dissection: Rationale, indications and surgical technique. Head Neck 11:111–122, 1989.

    Article  PubMed  CAS  Google Scholar 

  29. Medina JE. A rational classification of neck dissections. Otolaryngol Head Neck Surg 100:169–176, 1989.

    PubMed  CAS  Google Scholar 

  30. Robbins KT, Medina JE, Wolfe GT, Levine P, Sessions RB, Pruet CW. Standardizing neck dissection terminology. Arch Otolaryngol Head Neck Surg 117:601–605, 1991.

    Article  PubMed  CAS  Google Scholar 

  31. Molinari R, Chiesa F, Cantu G, et al. Retropective comparison of conservative and radical neck dissection in laryngeal cancer. Ann Otol 89:578–581, 1980.

    CAS  Google Scholar 

  32. Lingeman RE, Helmus C, Stephens R, et al. Neck dissection: Radical or conservative. Ann Otol 86:737–744, 1977.

    CAS  Google Scholar 

  33. Bocca E, Pignataro, Oldini C, et al. Functional neck dissection: An evaluation and review of 843 cases. Laryngoscope 94:942–945, 1984.

    PubMed  CAS  Google Scholar 

  34. Weber RS, Byers RM, Petit B, Wolf P, Ang K, Luna M. Submandibular gland tumors: Adverse histologic factors and therapeutic implications. Arch Otolaryngol Head Neck Surg 116:1055–1060, 1990.

    Article  PubMed  CAS  Google Scholar 

  35. Johnson J, Leipzig B, Cummings C. Management of T1 carcinoma of the anterior aspect of the tongue. Arch Otolaryngol 106:249–251, 1980.

    Article  PubMed  CAS  Google Scholar 

  36. Drouhas C, Whitehurst J. The lymphatics of the tongue in relation to cancer. Am Surg 42:670–674, 1976.

    Google Scholar 

  37. Skolnick EM. The posterior triangle in radical neck surgery. Arch Otolaryngol 102:1–4, 1976.

    Article  Google Scholar 

  38. Shaha A, Spiro R, Shah J, et al. Squamous carcinoma of the floor of the mouth. Am J Surg 148:455–459, 1984.

    Article  PubMed  CAS  Google Scholar 

  39. Teichgraeber JF, Clairmont AA. The incidence of occult metastasis for cancer of the oral tongue and floor of mouth: Treatment rationale. Head Neck Surg 7:15–21, 1984.

    Article  PubMed  CAS  Google Scholar 

  40. Remmler D, Byers RM, Scheetz J, et al. A prospective study of shoulder disability resulting from radical and modified neck dissections. Head Neck Surg 8:280–286, 1986.

    Article  PubMed  CAS  Google Scholar 

  41. Million RR. Elective irradiation for TXN0 squamous carcinoma of the oral tongue and floor of mouth. Cancer 34:149–155, 1974.

    Article  PubMed  CAS  Google Scholar 

  42. Rabuzzi DD, Chung CT, Saagerman RH. Prophylactic neck irradiation. Arch Otolaryngol 106:454–455, 1980.

    Article  PubMed  CAS  Google Scholar 

  43. Feind CR: The head and neck. In: CD Haagensen, CR Feind, FC Hurter, CA Slantez, JA Weinberg, eds. The Lymphatics in Cancer. Philadelphia: WB Saunders, 1972, pp 59–230.

    Google Scholar 

  44. Harris HH, Butler E. Surgical limits in cancer. Arch Otolaryngol 87:64–67, 1968.

    Google Scholar 

  45. Candela FC, Shah J, Jacques DP, Shah JP. Patterns of cervical node metastasis from squamous carcinoma of the larynx. Arch Otolaryngol Head Neck Surg 116:432–435, 1990.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. David L. Callender
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  2. Randal S. Weber
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Editors and Affiliations

  1. M. D. Anderson Cancer Center, The University of Texas, Houston, Texas, USA

    Waun Ki Hong M.D.  & Randal S. Weber M.D.  & 

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© 1995 Springer Science+Business Media New York

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Callender, D.L., Weber, R.S. (1995). Elective modified neck dissection for treatment of the clinically negative (N0) neck. In: Hong, W.K., Weber, R.S. (eds) Head and Neck Cancer. Cancer Treatment and Research, vol 74. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2023-8_12

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  • DOI: https://doi.org/10.1007/978-1-4615-2023-8_12

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5837-4

  • Online ISBN: 978-1-4615-2023-8

  • eBook Packages: Springer Book Archive

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