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Arch Otolaryngol Head Neck Surg. 2004;130:1431-1434.

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

Hypothesis: Selective neck dissection (SND) is adequate treatment for node-positive neck disease.

BACKGROUND

Selective neck dissection, or the selective removal of nodal groups at risk for harboring cervical metastases, is an extension of the concept of the functional neck dissection first introduced in the 1960s. Until 1963, radical neck dissection (RND) was the standard surgical treatment of the cervical lymphatic nodes. In 1963 Suarez proposed a conservative, functional approach to neck dissection that was popularized by Bocca et al.¹ These authors described the removal of cervical lymph nodes from levels I through V with their enveloping fascial sheath while sparing nonlymphatic anatomic structures adjacent to, but not containing, lymph nodes, such as the accessory nerve, internal jugular vein, and sternocleidomastoid muscle.¹ The resulting modified RND (MRND) has been shown to avoid the cosmetic and functional morbidity associated with the classic RND without compromising oncologic safety or efficacy as a staging and . . . [Full Text of this Article]

PRO

CON

BOTTOM LINE

AUTHOR INFORMATION

Christine G. Gourin, MD
Author Affiliation: Department of Otolaryngology–Head and Neck Surgery Medical College of Georgia, Augusta.

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