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Revisions Proposed by the American Head and Neck Society and the American Academy of Otolaryngology–Head and Neck Surgery

K. Thomas Robbins, MD; Garry Clayman, MD; Paul A. Levine, MD; Jesus Medina, MD; Roy Sessions, MD; Ashok Shaha, MD; Peter Som, MD; Gregory T. Wolf, MD; and the Committee for Head and Neck Surgery and Oncology, American Academy of Otolaryngology–Head and Neck Surgery

Arch Otolaryngol Head Neck Surg. 2002;128:751-758.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

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 . . . [Full Text of this Article]

DIVISION OF LYMPH NODES BY LEVELS

DIVISION OF NECK LEVELS BY SUBLEVELS

DEFINITION OF LYMPH NODE GROUPS

ANATOMICAL BOUNDARIES OF THE NECK LEVELS

CORRELATION OF NECK LEVEL BOUNDARIES WITH ANATOMICAL MARKERS DEPICTED RADIOLOGICALLY

CONCEPTUAL GUIDELINES FOR NECK DISSECTION CLASSIFICATION

CLASSIFICATION OF NECK DISSECTION

RADICAL NECK DISSECTION

MODIFIED RADICAL NECK DISSECTION

SELECTIVE NECK DISSECTION

Refinements in Selective Neck Dissection Nomenclature

Selective Neck Dissection (SND) for Oral Cavity Cancer

Selective Neck Dissection for Oropharyngeal, Hypopharyngeal, and Laryngeal Cancer

Selective Neck Dissection for Cancer of the Midline Structures of the Anterior Lower Neck

Selective Neck Dissection for Cutaneous Malignancies

EXTENDED NECK DISSECTION

SUMMARY

From the University of Florida, Gainesville (Dr Robbins); the M. D. Anderson Cancer Center, Houston, Tex (Dr Clayman); the University of Virginia, Charlottesville (Dr Lavine); the University of Oklahoma, Oklahoma City (Dr Medina); the Beth Israel Hospital, New York, NY (Dr Sessions); the Memorial Sloan Kettering Cancer Institute, New York (Dr Shaha); the Mt Sinai Medical Center, New York (Dr Som); and the University of Michigan, Ann Arbor (Dr Wolf).

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