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• W2407100020 abstract "Paramount among the challenges and controversies facing the head and neck surgeon is the proper treatment of the No neck. Radical neck dissection involving the en bloc removal of lymph nodes and surrounding soft tissue structures popularized by CrileI2 and Martin33 was the dominant surgical procedure for removing suspected or obvious metastasis to the cervical lymph nodes for much of the 20th century. Recent trends toward cosmetic and functional preservation have resulted in the development of more conservative treatment strategies. Growing historical evidence suggests that the modified and selective neck dissections offer disease control comparable with radical dissections but with considerably less m~rbidity.~,~,~, ~~,~~ Additional evidence also suggests that prophylactic neck irradiation for suspected clinical disease provides equal control rates when compared with s~rgery.’”’s,~~,~~ This article discusses the potential treatment strategies for possible subclinical neck metastasis and the rationale for their use on a site by site basis for head and neck primary tumors. EVALUATION OF THE No NECK Cervical lymph node staging continues to present a major therapeutic challenge to head and neck surgeons. Clinical examination of the neck remains an essential part of the head and neck examination, however, and detection of cervical lymph node metastasis is uniformly unreliable. The reported false negative rate in assessing the presence or absence of cervical lymph node metastasis by palpation is 20% to 51 %.36,47,54 Factors affecting this variance include not only the experience of the examiner and the patient’s body habits, but also previous treatment including prior surgery" @default.
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• W2407100020 date "1998-01-01" @default.
• W2407100020 modified "2023-09-26" @default.
• W2407100020 title "MANAGEMENT OF THE No NECK" @default.
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