Current philosophy in the surgical management of neck metastases for head and neck squamous cell carcinoma

H. Hakan Coskun, Jesus E. Medina, K. Thomas Robbins, Carl E. Silver, Primož Strojan, Afshin Teymoortash, Phillip K. Pellitteri, Juan P. Rodrigo, Sandro J. Stoeckli, Ashok R. Shaha, Carlos Suárez, Dana M. Hartl, Remco De Bree, Robert P. Takes, Marc Hamoir, Karen T. Pitman, Alessandra Rinaldo, Alfio Ferlito

    Résultats de recherche: Contribution à un journalArticleRevue par des pairs

    66 Citations (Scopus)

    Résumé

    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, nonsurgical 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 seem to benefit patient outcomes particularly as this relates to diminished morbidity. The purpose of this review was to highlight the new paradigms for surgical removal of neck metastases using an evidence-based approach.

    langue originaleAnglais
    Pages (de - à)915-926
    Nombre de pages12
    journalHead and Neck
    Volume37
    Numéro de publication6
    Les DOIs
    étatPublié - 1 juin 2015

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