The patient returned for treatment and underwent a supraglottic laryngectomy with negative surgical margins and a left modified neck dissection
. Seven of 15 nodes in the left side of the neck had been invaded by metastatic tumor.
 Efforts to preserve the spinal accessory nerve have gained widespread approval, as various studies have shown that rates of subsequent nodal recurrence do not differ significantly among the various modified neck dissection
Analysis of disability resulting from treatment including radical neck dissection or modified neck dissection
. Head Neck Surg 1983;6:551-8.
Modified neck dissection
for metastatic testicular carcinoma.
We performed a modified neck dissection
in conjunction with a parotidectomy because our patient's tumor--a sebaceous gland carcinoma-is known to behave in an aggressive manner.
All patients with localized disease in neck underwent modified neck dissection
according to anatomical location.
A 54-year-old man with T1N2bM0 squamous cell carcinoma of the right pharyngoepiglottic fold (status post fight modified neck dissection
and subsequent radiation therapy 3 years earlier) was referred to our sleep center with complaints of poor sleep, somnambulance (sleepwalking), and somniloquy (sleep talking).
Total thyroidectomy with ipsilateral modified neck dissection
followed by radioactive iodine therapy has also been reported to grant a favorable prognosis .
In cases of overt malignancy, modified neck dissection
is appropriate and may necessitate sacrifice of lingual and hypoglossal nerves.
A resection of the soft palate was performed along with a radical neck dissection on the right and a modified neck dissection
on the left.
The shortest stay was four days in a modified neck dissection
(Type-II) procedure and the longest stay was sixty days in a radical neck dissection procedure in one patient with incomplete resection of the primary tumor which required a second operation to clear the residual.
The frequency of postoperative morbidity of SAN was 46.7% for radical neck dissection, 42.5% for selective neck dissection, and 25% for modified neck dissection
in a study.