Neck Dissection Classification Update: Revisions Proposed by the American Head and Neck Society and the American Academy of Otolaryngology–Head and Neck Surgery
K. Thomas Robbins,Gary L. Clayman,Paul A. Levine,Jesus E. Medina,Roy Sessions,Ashok R. Shaha,Peter M. Som,Gregory T. Wolf +7 more
TL;DR: An effort to develop a standardized classification system for neck dissection was undertaken and the final product was published in the ARCHIVES 1 and as a monograph 2 by the AAO-HNS in 1991.
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Abstract: Since the first description of the radical neck dissection by George Crile almost a century ago, many variations and modifications of the procedure have been added. These include the functional neck dissection, the modified radical neck dissection, and various selective neck dissections. In response to the need for an organized approach in describing these operations, the Committee for Head and Neck Surgery and Oncology of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) in 1988 initiated an effort to develop a standardized classification system for neck dissection (Table 1). During this process, input was obtained from the Education Committee of the American Society for Head and Neck Surgery (ASHNS) and its Council. The final product, endorsed by the ASHNS and the AAO-HNS, was published in the ARCHIVES 1 and as a monograph 2 by the AAO-HNS in 1991.
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References
Standardizing neck dissection terminology : official report of the Academy's committee for head and neck surgery and oncology
TL;DR: A classification system for neck dissection techniques that provides a rational framework on which subsequent terminology can be added and should provide an improved method of communication is adopted by the American Academy of Otolaryngology-Head and Neck Surgery.
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•Journal Article
Indications for Selective Neck Dissection: When, How, and Why
TL;DR: Selective neck dissection is a procedure that is primarily indicated in patients with clinically negative nodal disease in which there is a high risk of occult metastases.
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Frequency and therapeutic implications of skip metastases in the neck from squamous carcinoma of the oral tongue
TL;DR: Supraomohyoid neck dissection is an adequate operation for the elective treatment of the neck for patients with oral cavity cancer, however, may metastasize to clinically negative nodes in 20% to 30% of patients.