European Archives of Oto-Rhino-Laryngology

, Volume 270, Issue 11, pp 2815–2821 | Cite as

Superselective neck dissection: rationale, indications, and results

  • 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
REVIEW ARTICLE

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 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Carlos Suárez
    • 1
    • 2
  • Juan P. Rodrigo
    • 1
    • 2
  • K. Thomas Robbins
    • 3
  • Vinidh Paleri
    • 4
  • Carl E. Silver
    • 5
  • Alessandra Rinaldo
    • 6
  • Jesus E. Medina
    • 7
  • Marc Hamoir
    • 8
  • Alvaro Sanabria
    • 9
    • 10
  • Vanni Mondin
    • 6
  • Robert P. Takes
    • 11
  • Alfio Ferlito
    • 6
  1. 1.Department of OtolaryngologyHospital Universitario Central de AsturiasOviedoSpain
  2. 2.Instituto Universitario de Oncología del Principado de AsturiasOviedoSpain
  3. 3.Division of Otolaryngology-Head and Neck SurgerySouthern Illinois University School of MedicineSpringfieldUSA
  4. 4.Department of Otolaryngology-Head and Neck SurgeryNewcastle upon Tyne Foundation Hospitals NHS TrustNewcastle upon TyneUK
  5. 5.Departments of Surgery and Otolaryngology-Head and Neck SurgeryAlbert Einstein College of Medicine, Montefiore Medical CenterBronxUSA
  6. 6.ENT ClinicUniversity of UdineUdineItaly
  7. 7.Department of OtorhinolaryngologyThe University of Oklahoma Health Sciences CenterOklahoma CityUSA
  8. 8.Department of Head and Neck Surgery, Head and Neck Oncology ProgramSt Luc University Hospital and Cancer CenterBrusselsBelgium
  9. 9.Department of SurgeryUniversidad de Antioquia-Universidad de La SabanaMedellínColombia
  10. 10.Oncology Unit-Hospital Pablo Tobón UribeMedellínColombia
  11. 11.Department of Otolaryngology-Head and Neck SurgeryRadboud University Nijmegen Medical CenterNijmegenThe Netherlands

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