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Arch Otolaryngol Head Neck Surg. 2004;130:1436.

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

Selective neck dissection is a function-preserving, low-morbidity option for patients with head and neck squamous cell carcinoma and occult or early nodal disease. The current staging modalities, (ie, computed tomography, magnetic resonance imaging, and positron emission tomography) still are unable to reliably predict either nodal metastasis or presence of extracapsular spread. Therefore, the surgeon often does not know the histologic node stage of the neck during the planning stages of the surgical approach.

Figure appears in full text version. Carol R. Bradford, MD

Quality-of-life studies have demonstrated an improvement in pain scores in patients who are spared dissection of level V.^1-2 Equally important, patients undergoing MRND have significantly worse shoulder function than those undergoing SND.³ Furthermore, Shah⁴ determined that level V was never involved in the absence of involvement of other nodal levels. Therefore, it seems prudent to look upon SND as an accurate means of staging that can dictate subsequent therapy rather than a purely . . . [Full Text of this Article]

AUTHOR INFORMATION

Carol R. Bradford, MD

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