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Chapter-08 Selective Neck Dissection II–IV (Lateral Neck Dissection)

BOOK TITLE: Neck Dissections: Colour Atlas of Surgical Technique

Author
1. Medina Jesus E.
2. Vasan Nilesh R.
ISBN
9789386322289
DOI
10.5005/jp/books/14153_9
Edition
1/e
Publishing Year
2018
Pages
18
Author Affiliations
1. University of Oklahoma, College of Medicine, Oklahoma City, Oklahoma, USA
2. University of Oklahoma, College of Medicine, Oklahoma City, Oklahoma, USA
Chapter keywords
Selective neck dissection, SND, lateral neck dissection, larynx, sternocleidomastoid muscle, internal jugular vein, lymph node, spinal accessory nerve

Abstract

The regional control and survival rates observed in several retrospective studies suggested that a selective neck dissection (SND) of levels II–IV was as effective as more extensive neck dissections. In addition, the inclusion of level V in SNDs for patients with cancer of the larynx has been questioned. Situations in which SND II–IV is indicated are mentioned in this chapter. The incisions commonly used for this type of neck dissection are the unilateral and bilateral hockey-stick incisions and the mid-transverse incision. Once the inferior border of the submandibular gland has been identified, there is no further requirement for anterior-superior elevation of the flap. A detailed discussion on the surgical technique of SND (II–IV) has been presented in this chapter with the help of well-illustrative diagrams.

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