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Dissecting the "Endoscopic Neck"
Arch Otolaryngol Head Neck Surg. 2003;129:612.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Few of us are so unhappy with our neck dissection results that we lay awake at night thinking of endoscopic approaches. After all, the operation is designed to treat cancer. At first glance, the report of Terris et al1 on achieving an "endoscopic" neck dissection seems nothing more than a difficult way to do a straightforward operation. So what does this report allow us to do?
There have been reports of attempts at neck dissections in animals that cited pneumothorax and other technical complications of creating a cavity in a neck that does not naturally exist (unlike the peritoneal cavity). The report by Terris et al1 announces that many of the technical problems have been overcome.
The fact that the procedure can be done endoscopically does not mean that it should be performed. Removal of normal tissue endoscopically is a long way from proving that endoscopic neck dissection is safe . . . [Full Text of this Article]
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Endoscopic Selective Neck Dissection in a Porcine Model
David J. Terris, Ashkan Monfared, Adrian Thomas, Neeraja Kambham, and Yamil Sáenz
Arch Otolaryngol Head Neck Surg. 2003;129(6):613-617.
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