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Head and Neck

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5.1 CLASSIFICATION OF NECK DISSECTION

Robbins KT, Medina JE, Wolf GT et al: Standardising neck dissection terminology. Arch Otolaryngol Head Neck Surg 1991;117:601–605

5.1.1 Comprehensive Neck Dissection

– Removes the contents of all five levels of the neck

(a) Radical neck dissection:

– Removes the contents of all five neck levels

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Internal jugular vein (IJV)

Sternocleidomastoid muscle (SCM)

Accessory nerve (AN)

(b) Modified radical neck dissection (MRND):

– Removes the contents of all five levels but preserves one or more of the three structures above

Medina-Classification of MRND: Type 1: Accessory nerve preserved Type 2: Accessory nerve and SCM preserved Type 3: Accessory nerve, SCM, IJV preserved (To avoid confusion it is now preferable to state which structures are spared or sacrificed as different classifications systems are not consistent with regard to structure and category type)

(c) Extended radical:

Removes all five levels of the neck but may also include paratracheal...

Keywords

Neck Dissection Facial Palsy Pleomorphic Adenoma Salivary Gland Tumor Reconstructive Option 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag London Limited 2009

Authors and Affiliations

  1. 1.Consultant Plastic and Hand SurgeonPulvertaft Hand CentreDerbyUK

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