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Neck Dissection and Parotidectomy for Melanoma

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Book cover Cutaneous Melanoma

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Abstract

Head and neck melanomas are a surgical and medical challenge. Facial anatomy and its lymphatic drainage are complex and often unpredictable. To balance oncologic clearance with morbidity, surgeons must be familiar with the anatomy of the head and neck region, possible patterns of nodal drainage, and regions of potential anatomic danger. Unless facial surgery is part of a surgeon’s common practice, facial nerve injury and soft tissue embarrassment can result. Although head and neck melanomas are treated similarly to other body regions, they are often underrepresented in clinical trials, making extrapolation difficult. Thus, the surgeon must be aware of current clinical data and tailor care to each individual patient. The goal of this chapter is to review head and neck lymphatics, discuss relevant surgical techniques, and review clinical evidence relating to sentinel node biopsy and complete neck dissection in head and neck melanomas.

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Author information

Authors and Affiliations

  1. Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA

    Brian Gastman & Rebecca Knackstedt

  2. Department of Head and Neck Surgery, UT MD Anderson Cancer Center, Houston, TX, USA

    Ryan P. Goepfert & Michael E. Kupferman

  3. Department of Otolaryngology, UT Southwestern Medical Center, Dallas, TX, USA

    Baran Sumer

  4. Department of Otolaryngology, Memorial Sloan Kettering Cancer Institute, New York, NY, USA

    Ashok Shaha

Authors
  1. Brian Gastman
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  2. Rebecca Knackstedt
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  3. Ryan P. Goepfert
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  4. Baran Sumer
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  5. Ashok Shaha
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  6. Michael E. Kupferman
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Corresponding author

Correspondence to Brian Gastman .

Editor information

Editors and Affiliations

  1. Division of Surgical Oncology, University of Texas Southwestern, Dallas, TX, USA

    Charles Balch

  2. Division of Surgery, UT MD Anderson Cancer Center, Houston, TX, USA

    Jeffrey Gershenwald

  3. Melanoma Institute of Australia, Wollstonecraft, Australia

    John Thompson

  4. Georgetown Medical Center, Washington, DC, USA

    Michael Atkins

  5. Melanoma and Skin Cancer Program, University of Pittsburgh, Pittsburgh, PA, USA

    John Kirkwood

  6. University of Sydney, Sydney, NSW, Australia

    Richard Kefford

  7. Department of Dermatology, Harvard Medical Center, Boston, MA, USA

    Arthur Sober

  8. Department of Dermatology, Memorial Sloan Kettering, New York, NY, USA

    Allan Halpern

  9. Department of Dermatology, University Hospital, Tübingen, Tübingen, Germany

    Claus Garbe

  10. Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Camperdown NSW, Australia

    Richard Scolyer

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Gastman, B., Knackstedt, R., Goepfert, R.P., Sumer, B., Shaha, A., Kupferman, M.E. (2019). Neck Dissection and Parotidectomy for Melanoma. In: Balch, C., et al. Cutaneous Melanoma. Springer, Cham. https://doi.org/10.1007/978-3-319-46029-1_23-1

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  • DOI: https://doi.org/10.1007/978-3-319-46029-1_23-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-46029-1

  • Online ISBN: 978-3-319-46029-1

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