REVIEW ARTICLE

European Archives of Oto-Rhino-Laryngology

, Volume 270, Issue 11, pp 2815-2821

Superselective neck dissection: rationale, indications, and results

  • Carlos SuárezAffiliated withDepartment of Otolaryngology, Hospital Universitario Central de AsturiasInstituto Universitario de Oncología del Principado de Asturias
  • , Juan P. RodrigoAffiliated withDepartment of Otolaryngology, Hospital Universitario Central de AsturiasInstituto Universitario de Oncología del Principado de Asturias
  • , K. Thomas RobbinsAffiliated withDivision of Otolaryngology-Head and Neck Surgery, Southern Illinois University School of Medicine
  • , Vinidh PaleriAffiliated withDepartment of Otolaryngology-Head and Neck Surgery, Newcastle upon Tyne Foundation Hospitals NHS Trust
  • , Carl E. SilverAffiliated withDepartments of Surgery and Otolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine, Montefiore Medical Center
  • , Alessandra RinaldoAffiliated withENT Clinic, University of Udine
  • , Jesus E. MedinaAffiliated withDepartment of Otorhinolaryngology, The University of Oklahoma Health Sciences Center
  • , Marc HamoirAffiliated withDepartment of Head and Neck Surgery, Head and Neck Oncology Program, St Luc University Hospital and Cancer Center
  • , Alvaro SanabriaAffiliated withDepartment of Otolaryngology, Hospital Universitario Central de AsturiasDepartment of Surgery, Universidad de Antioquia-Universidad de La SabanaOncology Unit-Hospital Pablo Tobón Uribe
    • , Vanni MondinAffiliated withENT Clinic, University of Udine
    • , Robert P. TakesAffiliated withDepartment of Otolaryngology, Hospital Universitario Central de AsturiasDepartment of Otolaryngology-Head and Neck Surgery, Radboud University Nijmegen Medical Center
    • , Alfio FerlitoAffiliated withENT Clinic, University of Udine Email author 

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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.

Keywords

Neck dissection Selective neck dissection Superselective neck dissection Neck metastases Neck levels