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THOMAS K. KRON, MD
Chicago

Arch Otolaryngol Head Neck Surg. 1988;114(6):612.

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

The head and neck surgeon will encounter the patient with high cervical neck disease and question the resectability of these tumors. In such cases, Myles Pensak, MD, and Kevin Shumrick, MD, Cincinnati, propose an extension of the classic radical neck dissection limits to include the skull base. As reported at the 1988 Middle Section meeting of the Triological Society in Ann Arbor, Mich, the authors propose extension of the incision upward into the parotid and temporalis area, mastoidectomy, facial nerve mobilization, and exposure of the jugular bulb at the skull base. The jugular vein can thereby be ligated much higher than is customary, facilitating the extirpation of all malignant disease and node-bearing tissue. Representative cases were discussed. While ultimate survival may not be significantly altered, local recurrences may be improved with this extended neck dissection technique. . . . [Full Text PDF of this Article]

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