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Surgical Treatment Concepts

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Metastases in Head and Neck Cancer

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Abstract

In this chapter, currently applied surgical treatment concepts for the lymphatic drainage of malignant head and neck tumors will be discussed. The numerous reports in the literature on this topic indicate a great deal of controversy regarding appropriate strategies. This problem can also be explained by the numerous more or less accepted varieties of neck dissection that have been augmented by additional limited selective neck dissection types (e.g., isolated dissection of levels II and III in cases of pharyngeal carcinoma with No or even with N+ neck). This broad treatment spectrum makes it very difficult at present to elaborate a generally accepted therapeutic concept for the management of the lymphatic drainage in cases of head and neck malignancies. Our purpose is to report on generally accepted treatment concepts or surgical therapies for the No neck, the N+ neck and lymph node metastases in cases of unknown primary cancer.We will use this information as a basis for discussion of the newer types of limited neck dissection.

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Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, Philipps University of Marburg, Deutschhausstrasse 3, 35037, Marburg, Germany

    Jochen A. Werner M.D. (Professor and Chairman)

  2. University of Utah, School of Medicine 3C 120 University Health Sciences Center, Salt Lake City, Utah, 84132-2301, USA

    R. Kim Davis M.D. (Grant H. and Mildred Burrows Beckstrand Professor of Surgical Oncology Chief, Division of Otolaryngology, Head and Neck Surgery)

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  1. Jochen A. Werner M.D.
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  2. R. Kim Davis M.D.
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Editors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, Philipps University of Marburg, Deutschhausstrasse 3, 35037, Marburg, Germany

    Jochen A. Werner M.D. (Professor and Chairman) (Professor and Chairman)

  2. University of Utah, School of Medicine 3C 120 University Health Sciences Center, Salt Lake City, Utah, 84132-2301, USA

    R. Kim Davis M.D. (Grant H. and Mildred Burrows Beckstrand Professor of Surgical Oncology Chief, Division of Otolaryngology, Head and Neck Surgery) (Grant H. and Mildred Burrows Beckstrand Professor of Surgical Oncology Chief, Division of Otolaryngology, Head and Neck Surgery)

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© 2004 Springer-Verlag Berlin Heidelberg

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Werner, J.A., Davis, R.K. (2004). Surgical Treatment Concepts. In: Werner, J.A., Davis, R.K. (eds) Metastases in Head and Neck Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18722-3_7

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  • DOI: https://doi.org/10.1007/978-3-642-18722-3_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-20507-4

  • Online ISBN: 978-3-642-18722-3

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