Neck dissection. Medical search. Frequent questions

1957 - Hayes Martin describes routine use of the radical neck dissection for control of neck metastases. (wikipedia.org)
In 1906, Crile was the first person to describe radical neck dissection, which encompasses the surgical removal of neck metastases contained between superficial and deep fascial layers of the neck. (medscape.com)
The term "neck dissection" refers to a surgical procedure in which the fibrofatty contents of the neck are removed for the treatment of cervical lymphatic metastases. (medscape.com)
Clinically involved lymph node disease (cN1a) was defined as lymph node metastases in the central neck compartment on preoperative US. (springer.com)
This type of surgery is usually used in tumors or cervical metastases in the head and neck. (uams.edu)
The clinical ability to detect lymph node metastases depends on the extent of the neck metastases and the expertise and experience of the examiner. (medscape.com)
Thirty to eighty percent of patients with papillary thyroid cancer harbor lymph node metastases, with the central neck being the most common compartment involved. (psu.edu)
Metastases to lateral neck nodes must be considered in the evaluation of the newly diagnosed thyroid cancer patient and for surveillance of the previously treated DTC patient. (psu.edu)
Elective neck dissection determines the presence of occult metastases for pathologic staging. (mhmedical.com)

The 2001 revisions proposed by the American Head and Neck Society (AHNS) and the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) are as follows. (wikipedia.org)
Neck dissection is surgery to remove the lymph nodes in your neck. (medlineplus.gov)
The survival rate is less than 5% in patients who previously underwent surgery and have a recurrent metastasis in the neck. (medscape.com)
The main purpose of this neck operation was to create a more conservative and cosmetically oriented surgery without the decrease of oncologic control. (medscape.com)
In 1991, the American Academy of Otolaryngology-Head and Neck Surgery (AAOHNS) published an official report that standardized the terminology for different types of neck dissection. (medscape.com)
[ 2 , 3 ] Experimental studies of lymphatic drainage, coupled with clinical studies of the specific location of nodal metastasis within neck dissection specimens, provided the rationale for more targeted surgery. (medscape.com)
In order to bring uniformity to the terminology used to describe these operations, the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) sponsored the Committee for Head and Neck Surgery and Oncology to develop a classification system for neck dissections. (medscape.com)
In this, the disease-free and absolute overall survival benefits were 23.6 and 12.5 percentage points, respectively, in patients with T1 or T2 invasive squamous cell carcinoma of the tongue, floor of the mouth, or buccal mucosa (lateralized to one side of the midline) who underwent elective neck dissection at the time of primary surgery. (medscape.com)
Is total thyroidectomy with bilateral central neck dissection the only surgery for papillary thyroid carcinoma patients with clinically involved central nodes? (springer.com)
1 Department of Head and Neck Surgery, St. Luc University Hospital and Cancer Center, Brussels, Belgium. (nih.gov)
As planned surgery will only benefit patients with residual disease in the neck alone, there is a high rate of unnecessary ND with its associated morbidity. (nih.gov)
T2N1M0 - still waiting on pathology but my surgeon told me one of the reasons he was recommending TORS and neck dissection versus chemo and radiation was there may be a chance if just completing this with the surgery. (cancer.org)
Other than some numbness in my right side of my face, neck and ear and the obvious pain that is short term after surgery not a lot of other complaints. (cancer.org)
The goals of this study were to: (1) identify appropriate methods for determining metastatic DTC in the lateral neck and (2) address the extent of lymph node dissection for the lateral neck necessary to control nodal disease balanced against known risks of surgery. (psu.edu)
Objective: To assess the dynamic activity of scapular muscles in patients with accessory nerve dysfunction after neck dissection surgery, compared with both their unaffected side and with age- and sex-matched controls. (edu.au)
The Swiss Head and Neck Basic Dissection and Reconstructive Head and Neck Surgery Courses 2023 are two 2-day intensive hands-on training courses and will be held under the direction of the Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital and the Institute of Anatomy, University of Bern in collaboration with the Swiss Working Group of Head and Neck Surgery. (sborl.es)
A major feature is to investigate the anatomy relevant to an array of head and neck surgical procedures and the techniques of regional and free flap raising on specimens, which have been specifically prepared to preserve tissue planes and simulate real surgery. (sborl.es)
This type of oral cancer surgery is used to remove lymph nodes in the neck if cancer has spread or is suspected to have spread to this area. (cancercenter.com)
Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City. (bvsalud.org)
Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center, New York, New York. (bvsalud.org)
All the dissections were performed by a team of head and neck surgeon with experience in robotic surgery. (manipal.edu)
Even experienced surgeons find it difficult to visually identify the recurrent laryngeal nerve (RLN) or vagus nerve during thyroid surgery and other neck dissections. (medtronic.com)

Selective Neck Dissection (SND) (together with the use of parentheses to denote the levels or sublevels removed) - cervical lymphadenectomy with preservation of one or more lymph node groups that are routinely removed in a RND. (wikipedia.org)
Selective neck dissection levels I-III. (medscape.com)
Selective neck dissection levels II-IV. (medscape.com)
Selective neck dissection for thyroid cancer: selective neck dissection VI, or anterior neck dissection. (medscape.com)
Selective neck dissection for posterior scalp and upper posterolateral neck cutaneous malignancies: selective neck dissection II-V, postauricular, suboccipital, or posterolateral neck dissection. (medscape.com)
Background This multicenter study was undertaken to characterize the metastatic behavior of oral maxillary squamous carcinoma and to determine the role of selective neck dissection. (nyu.edu)
therefore, selective neck dissection (levels I-III) is recommended at the time of resection of T2, T3, and T4 maxillary squamous carcinomas. (nyu.edu)
14 cases of robotic selective neck dissections and from January 2017 to January 2019 at Health Care Global Enterprises Ltd., Bangalore were included in the study. (manipal.edu)

The neck dissection is a surgical procedure for control of neck lymph node metastasis from squamous cell carcinoma (SCC) of the head and neck. (wikipedia.org)
Metastasis of squamous cell carcinoma into the lymph nodes of the neck reduce survival and is the most important factor in the spread of the disease. (wikipedia.org)
Classic radical neck dissection is still the criterion standard for surgical control of a neck metastasis. (medscape.com)
In the 1950s, Martin routinely used radical neck dissection for the management of neck metastasis. (medscape.com)
According to the 2015 American Thyroid Association (ATA) guidelines, total thyroidectomy with therapeutic central-compartment neck dissection (CND) is recommended for papillary thyroid carcinoma (PTC) patients with suspicious central lymph node metastasis (CLNM) on preoperative imaging [ 1 ]. (springer.com)
Of those N0 (clinically negative) necks treated with or without neck dissection, 14.4% developed cervical metastasis. (nyu.edu)
Patients with N3 neck disease are at increased risk for developing distant metastasis. (medscape.com)
The lung is the most common site of distant metastasis in head and neck cancer, as supported by both clinical and autopsy studies. (medscape.com)
It is not sensitive for revealing bone metastasis in head and neck squamous cell cancer head because this type of bone metastasis is osteolytic. (medscape.com)

Metastatic neck disease is the most important factor in the spread of head and neck squamous cell carcinoma (SCC) from primary sites. (medscape.com)
A retrospective study by van Lanschot et al indicated that in patients with early stage oral cavity squamous cell carcinoma, 5-year regional recurrence-free survival (RRFS) rates are lower in patients with depth of invasion of 4 mm or more who are not treated with elective neck dissection. (medscape.com)
Concurrent chemotherapy and radiotherapy (CRT) has become standard treatment for many patients with advanced head and neck squamous cell carcinoma (HNSCC). (nih.gov)
Squamous cell carcinoma accounts for more than 90% of head and neck cancers. (medscape.com)
The role of elective neck dissection in early stage tongue and buccal squamous cell carcinoma with negative neck lymph nodes is still controversial. (b-ent.be)
Assessing Prognostic Value of Quantitative Neck Dissection Quality Measures in Patients With Clinically Node-Negative Oral Cavity Squamous Cell Carcinoma. (bvsalud.org)
Daily adaptive radiotherapy can improve salivary gland sparing and lead to fewer acute toxicities for patients with squamous cell head and neck cancer, according to results from a randomized trial presented at the American Society for Radiation Oncology (ASTRO) 2023 Annual Meeting. (medscape.com)

JAMA Otolaryngol Head Neck Surg;148(10): 947-955, 2022 10 01. (bvsalud.org)

what is the correct code assignment for a laryngectomy with subtotal supraglottic and radical neck dissection? (studyhippo.com)

Select patients with papillary thyroid carcinoma with clinically involved lateral neck nodes (cN1b disease) may not require prophylactic central compartment neck dissection (PCND), according to our retrospective study published recently in the Annals of Surgical Oncology . (mskcc.org)
Indications and extent of central neck dissection for papillary thyroid cancer: An American Head and Neck Society Consensus Statement. (uams.edu)

Those treated with elective neck dissection had an RRFS rate of 89.0%, compared with 69.9% for those who did not undergo dissection. (medscape.com)
We retrospectively reviewed patients with T1-2N0M0 buccal and tongue cancer who underwent primary tumour excision with or without elective neck dissection between January 1997 and December 2006. (b-ent.be)
Elective neck dissection specifically improved disease-free survival of T2N0M0 buccal cancer and overall survival of T2N0M0 tongue cancer. (b-ent.be)
Elective neck dissection seems to improve the disease-free survival rate of T2N0M0 buccal cancer and the overall survival rate of T2N0M0 tongue cancer but has no beneficial effect on the survival rate of T1N0M0 buccal and tongue cancer. (b-ent.be)
Exposures Lymph node yield was defined as the number of lymph nodes recovered from elective neck dissection . (bvsalud.org)

citation needed] 1906 - George W. Crile of the Cleveland Clinic describes the radical neck dissection. (wikipedia.org)
Crile described the operation in 1906, and until recently, radical neck dissection was considered the standard procedure for management of both occult and clinically positive neck disease. (medscape.com)
The prototype of neck dissection is the radical neck dissection described by Crile in 1906. (uams.edu)

Radical Neck Dissection (RND) - removal of all ipsilateral cervical lymph node groups from levels I through V, together with SAN, SCM and IJV. (wikipedia.org)
Cancers in the head and neck region commonly metastasize to cervical lymph nodes. (medscape.com)
Dissection in the neck to remove all disease tissues including cervical LYMPH NODES and to leave an adequate margin of normal tissue. (uams.edu)
The status of the cervical lymph nodes in a patient with primary carcinoma of the head and neck is of vital prognostic significance. (medscape.com)
Data collected included primary tumor location, cervical lymph node status, and neck failure rate. (nyu.edu)
The neck (cervical spine) is composed of vertebrae that begin in the upper torso and end at the base of the skull. (keywen.com)
These 24 vertebrae are the 7 cervical (neck), 12 thoracic (back of chest), and 5 lumbar (loin). (keywen.com)

Central neck dissection: indications and technique. (medlineplus.gov)
A total of 103 patients (68 percent) did not have a PCND, and only two patients in this cohort developed a central neck recurrence by final follow-up. (mskcc.org)
The five- and ten-year central neck recurrence-free probability was 98.4 percent in the non-PCND group and 93.6 percent in the PCND group (p = 0.133), with a median follow-up of 65 months. (mskcc.org)
Routine oral calcium and vitamin D supplementation may prevent hypocalcemic crisis, but its efficacy has not been studied in patients undergoing thyroidectomy plus central neck dissection (CND). (nih.gov)

A 70-year-old man underwent primary tumor resection of the left floor of mouth, left marginal mandibulectomy, left modified radical neck dissection type I, and reconstruction with a radial forearm free flap. (e-roj.org)

Overall Radical Neck Dissections offer a highly effective way for medical professionals to tackle life threatening cancers located around the head and neck regions where conventional methods tend fail due largely availability issues related anatomical limitations posed by these unique locations within our bodies' complex makeup. (studyhippo.com)

Otolaryngol Head Neck Surg. (uams.edu)

A batch of the dissection of human head and neck soft silicone anatomy models for medical university has been finished by professional mold maker, including superficial and deep anatomy. (plastinationspecimen.com)
Rouvier initially described the routes of lymphatic drainage in the head and neck in 1938 in his paper entitled "Anatomy of the human lymphatic system. (medscape.com)
The surgeons need to revisit the anatomy of the face and neck and identify reliable anatomical structures that will act as "new" landmarks to ensure proper dissection. (manipal.edu)

Overall, 523 patients with cT1-2N0 OCSCC who underwent elective neck dissections after primary surgical extirpation were identified. (bvsalud.org)

Given the high propensity of subclinical nodal disease in these patients , upfront elective neck dissections (END) for patients with clinically node-negative disease are common and associated with better outcomes. (bvsalud.org)

Data Set for the Reporting of Nodal Excisions and Neck Dissection Specimens for Head and Neck Tumors: Explanations and Recommendations of the Guidelines From the International Collaboration on Cancer Reporting. (uams.edu)

Based on that predictability, in the 1970s, surgeons from the MD Anderson Cancer Center designed a neck operation that spared some LN groups and sacrificed others. (medscape.com)
This is the second edition of a superbly illustrated manual on neck dissection that will serve as a roadmap for advanced surgeons and beginners alike. (libreriastudium.it)
RNDs are commonly performed on patients with head and neck cancers, such as those affecting the mouth and throat, because these areas are often difficult for surgeons to access with traditional techniques.The steps involved in performing a RND vary depending on the stage of cancer present in each patient's specific case. (studyhippo.com)
Generally speaking, however, an incision will first be made along either side of the neck so that surgeons can gain access to all affected areas. (studyhippo.com)

This Dissection Video will show you the major steps of accomplishing the dissection of the posterior triangle of the neck. (anatomyguy.com)
Examination of the skin including the scalp and posterior neck may reveal a source of a metastatic unknown primary tumor from a cutaneous malignancy. (mhmedical.com)

Modified Radical Neck Dissection (MRND) - removal of all lymph node groups routinely removed in a RND, but with preservation of one or more nonlymphatic structures (SAN, SCM and IJV). (wikipedia.org)
We report a morphological analysis of neck muscle atrophy and soft-tissue fibrosis in an oral cancer autopsy case after modified radical neck dissection (MRND) type I and adjuvant radiotherapy to gain more insight into the clinical picture of neck muscle atrophy and soft-tissue fibrosis. (e-roj.org)

Instead, lymph nodes in other non-neck regions are referred to by the name of their specific nodal groups. (wikipedia.org)
A comprehensive neck dissection of at least nodal levels IIa, III, IV, and Vb should be performed when indicated to optimize disease control. (psu.edu)

Therefore, control of the neck is one of the most important aspects in the successful management of these particular tumors. (medscape.com)
For tumors that are larger or harder to reach, an incision may be required in the neck, face, or jawbone. (cancercenter.com)
Benign tumors can arise from soft tissue in the neck including fat, salivary tissue, lymph nodes, blood vessels, and nerves. (mhmedical.com)

A systematic approach is central in evaluation of neck masses including a detailed history and physical as well as a diagnostic evaluation to include imaging and tissue biopsy when appropriate. (mhmedical.com)

The aim of the procedure is to remove lymph nodes from one side of the neck into which cancer cells may have migrated. (wikipedia.org)
The operation encompasses removal of all the lymph nodes on one side of the neck, and includes removal of the spinal accessory nerve (SAN), internal jugular vein (IJV) and sternocleidomastoid muscle (SCM). (wikipedia.org)
Removal of more lymph nodes, including those on the side of the neck, is called a modified radical neck dissection. (keywen.com)
Lymph nodes can be found in clusters under the armpits, on either side of the neck, and in the groin area. (keywen.com)

Overall, daily adaptive radiotherapy with 1-mm planning tumor volumes reduced radiation exposure and was associated with less dermatitis and improved salivary outcomes, said lead investigator David Sher, MD , chief of head and neck radiation oncology at the University of Texas Southwestern Medical Center, Dallas. (medscape.com)

Late complications of head and neck cancer survivors include neck muscle atrophy and soft-tissue fibrosis. (e-roj.org)

Although many systems have been devised to delineate the regional lymph nodes, most centers treating cancers of the head and neck have adopted the system used by the Head and Neck Service at Memorial Sloan-Kettering Cancer Center (with minor variations from the Head and Neck Service at MD Anderson Hospital in Houston). (medscape.com)

Neck dissection with conservation of nonlymphatic structures was shown by Bocca, Gavilan, and others to yield equivalent oncologic outcomes, with improved functional results. (medscape.com)

Neck dissection may involve removal of other muscles and nerves in your neck, as well. (keywen.com)

When a large tumor is removed, the mouth, throat or neck may require repair of some kind. (cancercenter.com)

The initial workup of a patient with a presumed head and neck malignancy includes a complete history and a thorough physical examination, including visualization of the nasopharynx and larynx. (medscape.com)

Radical neck dissection was the original surgical procedure described for treatment of metastatic neck cancer. (medscape.com)
Functional neck dissection is utilized to treat metastatic neck cancer to the lymph nodes in levels II, III, IV, and V. (orangecountysurgeons.org)

Functional neck dissection is performed to eliminate metastatic cancer of the lymph nodes. (orangecountysurgeons.org)
Patients with cancer that has spread to the lymph nodes may need a neck dissection to prevent cancer from spreading to other parts of the body. (yarahhaidarmd.com)
Dr. Haidar is so thorough when it comes to head and neck cancer work up and care. (yarahhaidarmd.com)
We present an autopsy case of neck muscle atrophy and soft-tissue fibrosis (sternocleidomastoid, omohyoid, digastric, sternohyoid, sternothyroid, and platysma muscles) within the radiation field after modified radical neck dissection type I and postoperative radiotherapy for floor of mouth cancer. (e-roj.org)
Radiation-induced toxicity is a major cause of long-term disability after head and neck cancer treatment, such as subcutaneous soft-tissue fibrosis, neck muscle atrophy, swallowing abnormality, and trismus [ 1 2 3 4 ]. (e-roj.org)
A Radical Neck Dissection (RND) is a surgical procedure that involves the removal of lymph nodes, muscles, and other tissues from around the neck in order to treat advanced stages of cancer. (studyhippo.com)
If there's evidence that cancer has spread to the lymph nodes in your neck, your surgeon may remove most of the lymph nodes in your neck (neck dissection). (keywen.com)
Overall, the researchers concluded that for patients with head and neck cancer, DART "may improve physician- and patient-reported acute toxicity profiles, albeit with increased resource utilization. (medscape.com)
Cite this: DART Can Limit Toxicities in Head, Neck Cancer - Medscape - Oct 09, 2023. (medscape.com)

Radical neck dissection is an operation that was created in 1906 to solve the problem of metastatic neck disease. (medscape.com)

During the procedure, the metastatic lymph nodes are removed in the neck, but the regional accessory nerve, internal jugular vein and sternocleidomastoid muscle are all left preserved. (orangecountysurgeons.org)
One group consisted of neck dissection patients with demonstrated clinical signs of accessory nerve injury. (edu.au)
Conclusions: Trapezius muscle activity is significantly reduced in accessory nerve shoulder dysfunction as a result of neck dissection, both in the affected and unaffected sides. (edu.au)
Depending on which part of the spine is affected, spinal nerve compression can lead to symptoms in the neck, back, arms, or legs. (keywen.com)
It has reduced sensitivity to rotation and movement while offering increased EMG responses that facilitate improved nerve dissection. (medtronic.com)

To describe the lymph nodes of the neck for neck dissection, the neck is divided into 6 areas called Levels. (wikipedia.org)
The lymphatic drainage of the mucosal surfaces and other tissues of the head and neck is directed to the lymph nodes located within the fibroadipose tissue that lies between the investing (superficial) layer of the deep fascia superficially and the visceral and prevertebral layers underneath. (medscape.com)
I had a tonsil and 54 lymph nodes removed during TORS/neck dissection. (cancer.org)
Conclusions: Lateral neck lymph nodes are a significant consideration in the surgical management of patients with DTC. (psu.edu)
When current guidelines formulated by the ATA and by other international medical societies are followed, initial evaluation of the DTC patient with ultrasound (or other modalities when indicated) will help to identify lateral neck lymph nodes of concern. (psu.edu)
The dose to the primary tumor bed and involved neck nodes was 63 Gy in 35 fractions over 7 weeks. (e-roj.org)
The primary tumor bed and left upper neck nodes were treated using 4 MV photons. (e-roj.org)
The dose to the primary tumor bed and involved neck nodes was 63 Gy in 35 fractions over 7 weeks with two cone-down treatment plans at 45 Gy and 61.2 Gy. (e-roj.org)
When removing the thyroid gland, enlarged lymph nodes of the neck may be included in that removal. (keywen.com)
Some lymph nodes are in areas more readily noticed, such as in your neck, above your collarbone, under your arms or in your groin area. (keywen.com)

They assert that a clinical response does not predict the pathologic response, and that in the event of recurrence in the neck, a surgical salvage procedure is unlikely to succeed. (nih.gov)
Conversely, there are many arguments in favor of performing ND only for patients who have evidence of residual neck disease because of the very low probability of isolated neck recurrence following a complete response. (nih.gov)

Deep dissection of the neck and thorax of the mouse in 2 illustrations, deep dissection of the neck of the frog in 3 illustrations, anterior views. (utoronto.ca)
These vertebrae connect to your ribs and form part of the back wall of the thorax (the ribcage area between the neck and the diaphragm). (keywen.com)

One important element in the diagnostic workup of the neck neoplasm is ruling out a malignant process. (mhmedical.com)
The imaging modality that is selected in the workup of a neck mass differs based on the differential diagnosis. (mhmedical.com)

This procedure is a well-designed operation that is relatively easy for the trained head and neck surgeon to learn and to perform. (medscape.com)
The main goal of this procedure was to remove, en bloc, all ipsilateral lymphatic structures from the mandible superiorly to the clavicle inferiorly and from the strap muscles to the anterior border of the trapezius. (medscape.com)
Functional neck dissection is performed under general anesthesia, which means that the patient is asleep and completely unaware during the procedure. (orangecountysurgeons.org)
The total recovery time following functional neck dissection varies according to how much tissue was removed during the procedure. (orangecountysurgeons.org)
With this procedure, the windpipe is attached to a hole in the skin of the neck for breathing. (cancercenter.com)

Anatomy9

Diseases37

Analytical, Diagnostic and Therapeutic Techniques and Equipment23

Disciplines and Occupations1

Technology, Industry, Agriculture1

Information Science1

Health Care3

Metastases9

Surgery22

Selective neck8

Metastasis9

Squamous7

JAMA Otolaryngol Head Neck Surg1

Laryngectomy1

Papillary2

Elective neck dissection5

Crile3

Cervical7

Central neck4

Resection1

Radical neck dissections1

Surg1

Anatomy3

Underwent elective1

Clinically1

Specimens1

Surgeons4

Posterior2

MRND2

Nodal2

Tumors3

Biopsy1

Side of the neck4

Oncology1

Complications1

Memorial Sloan1

Nonlymphatic structures1

Nerves1

Throat1

Malignancy1

Metastatic neck cancer2

Cancer9

19061

Nerve5

Nodes10

Recurrence2

Thorax2

Workup2

Procedure5