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Erschienen in: European Archives of Oto-Rhino-Laryngology 11/2013

01.11.2013 | REVIEW ARTICLE

Superselective neck dissection: rationale, indications, and results

verfasst von: Carlos Suárez, Juan P. Rodrigo, K. Thomas Robbins, Vinidh Paleri, Carl E. Silver, Alessandra Rinaldo, Jesus E. Medina, Marc Hamoir, Alvaro Sanabria, Vanni Mondin, Robert P. Takes, Alfio Ferlito

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 11/2013

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Abstract

It has been established that an appropriately indicated selective neck dissection can achieve the same oncologic results as more extensive dissections. An even more modified selective neck dissection, termed superselective neck dissection, involves the compartmental removal of the fibrofatty tissue contents within the defined boundaries of two or fewer contiguous neck levels. Evidence from retrospective studies suggests that superselective neck dissection (SSND) is oncologically sound for two indications: elective treatment of the clinically N0 neck and salvage treatment of persistent lymph node disease after chemoradiotherapy. While there is broader support for the former scenario, evidence that SSND may constitute optimal treatment in the latter is in conformity with the trend toward developing surgical techniques that provide better functional outcomes without compromising efficacy.
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Metadaten
Titel
Superselective neck dissection: rationale, indications, and results
verfasst von
Carlos Suárez
Juan P. Rodrigo
K. Thomas Robbins
Vinidh Paleri
Carl E. Silver
Alessandra Rinaldo
Jesus E. Medina
Marc Hamoir
Alvaro Sanabria
Vanni Mondin
Robert P. Takes
Alfio Ferlito
Publikationsdatum
01.11.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 11/2013
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-012-2344-5

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