Author/Editor     Coskun, H. Hakan; Medina, Jesus E.; Robbins, K. Thomas; Silver, Carl E.; Strojan, Primož; Teymoortash, Afshin; Pellitteri, Phillip K.; Rodrigo, Juan P.; Stoeckli, Sandro J.; Shaha, Ashok R.; Suárez, Carlos; Hartl, Dana M.; De Bree, Remco; Takes, Robert P.; Hamoir, Marc; Pitman, Karen T.; Rinaldo, Alessandra; Ferlito, Alfio
Title     Current philosophy in the surgical management of neck metastases for head and neck squamous cell carcinoma
Type     članek
Vol. and No.     Letnik 37, št. 6
Publication year     2015
Volume     str. 915-926
ISSN     1097-0347 - Head & neck
Language     eng
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, non-surgical 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 appear to benefit patient outcomes particularly as this relates to diminished morbidity. This review is intended to highlight the new paradigms for surgical removal of neck metastases using an evidence based approach.
Keywords     ploščatocelični rak
rak glave in vratu
klinično negativni vrat
klinično pozitivni vrat
clinically negative neck
clinically positive neck
head and neck squamous cell carcinoma