Elective Neck Dissection

Elective treatment of cervical lymph node metastasis is generally recommended when the risk of occult disease is around 15 to 20 percent. Candela and colleagues demonstrated that the nodal groups at risk from laryngeal cancer are at levels II, III and IV.32 Level I was rarely involved in isolation and level V was never involved alone. This tends to support the removal of levels II, III and IV, the so-called jugular node dissection or lateral neck dissection,

Figure 9-16.


Surgical specimen from supracricoid subtotal laryn-

for elective neck treatment33 (Figure 9-18). Spiro and colleagues concluded that this dissection should extend at least 2 cm lateral to the jugular vein to adequately sample the nodes at risk.34

Was this article helpful?

0 0
10 Ways To Fight Off Cancer

10 Ways To Fight Off Cancer

Learning About 10 Ways Fight Off Cancer Can Have Amazing Benefits For Your Life The Best Tips On How To Keep This Killer At Bay Discovering that you or a loved one has cancer can be utterly terrifying. All the same, once you comprehend the causes of cancer and learn how to reverse those causes, you or your loved one may have more than a fighting chance of beating out cancer.

Get My Free Ebook

Post a comment