ADVANCES IN THE MANAGEMENT OF NECK DISSECTION: A REVIEW
Abstract
The proper management of neck in patients with head and neck malignancies is one of the unresolved oncologic questions. Cervical metastasis is one of the major risk factor and the best prognostic indicators for patient with head and neck cancer. Patients who present with tumors localized at the primary site without dissemination to regional lymph node enjoy an excellent prognosis and can be cured by appropriate use of surgery, radiotherapy or both. On the other hand once dissemination to regional lymph nodes takes place, the probability of 5 years survival, regardless of treatment, reduces to nearly one half of that seen in early staged patients. The purpose of this article is to study the current concepts in cervical lymph node metastases and development of various techniques in neck dissection to reduce morbidity while eradicating the pathology completely.
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