European Archives of Oto-Rhino-Laryngology

, Volume 270, Issue 11, pp 2815–2821

Superselective neck dissection: rationale, indications, and results

Authors

  • Carlos Suárez
    • Department of OtolaryngologyHospital Universitario Central de Asturias
    • Instituto Universitario de Oncología del Principado de Asturias
  • Juan P. Rodrigo
    • Department of OtolaryngologyHospital Universitario Central de Asturias
    • Instituto Universitario de Oncología del Principado de Asturias
  • K. Thomas Robbins
    • Division of Otolaryngology-Head and Neck SurgerySouthern Illinois University School of Medicine
  • Vinidh Paleri
    • Department of Otolaryngology-Head and Neck SurgeryNewcastle upon Tyne Foundation Hospitals NHS Trust
  • Carl E. Silver
    • Departments of Surgery and Otolaryngology-Head and Neck SurgeryAlbert Einstein College of Medicine, Montefiore Medical Center
  • Alessandra Rinaldo
    • ENT ClinicUniversity of Udine
  • Jesus E. Medina
    • Department of OtorhinolaryngologyThe University of Oklahoma Health Sciences Center
  • Marc Hamoir
    • Department of Head and Neck Surgery, Head and Neck Oncology ProgramSt Luc University Hospital and Cancer Center
  • Alvaro Sanabria
    • Department of SurgeryUniversidad de Antioquia-Universidad de La Sabana
    • Oncology Unit-Hospital Pablo Tobón Uribe
  • Vanni Mondin
    • ENT ClinicUniversity of Udine
  • Robert P. Takes
    • Department of Otolaryngology-Head and Neck SurgeryRadboud University Nijmegen Medical Center
    • ENT ClinicUniversity of Udine
REVIEW ARTICLE

DOI: 10.1007/s00405-012-2344-5

Cite this article as:
Suárez, C., Rodrigo, J.P., Robbins, K.T. et al. Eur Arch Otorhinolaryngol (2013) 270: 2815. doi:10.1007/s00405-012-2344-5

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

Copyright information

© Springer-Verlag Berlin Heidelberg 2013