selective neck dissection


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Related to selective neck dissection: radical neck dissection

selective neck dissection

A term of art referring to any type of cervical lymphadenectomy for managing cancer, in which one or more of the lymph node groups that would be otherwise removed in a radical neck dissection is preserved.

Type of selective neck dissections
Lateral neck dissection, posterolateral neck dissection, supraomohyoid neck dissection, extended supraomohyoid neck dissection.

selective neck dissection

Surgical oncology A procedure for managing laryngeal CA, in which only the anatomic regions most likely
to contain cancer-laden lymph nodes are removed, thus ↓ tissue loss, ↓ co-morbidity. See Head and neck cancer. Cf Radical neck dissection.

selective neck dissection

One of several operations used for staging and treatment of neck cancers. In the most commonly used approach, the tissues above the omohyoid, including the submandibular gland and lymphatics, are removed.
See also: dissection
References in periodicals archive ?
Sensory changes associated with selective neck dissection.
Shoulder disability after different selective neck dissections (levels II-IV versus levels II-V): A comparative study.
We started with supraomohyoid selective neck dissection and removed submandibular neck nodes (Figure 5).
Patients with selective neck dissection were not included in this series, but they may have an equal or lower percentage of threshold shift in a neck dissection in which the SAN is dissected less extensively.
Selective neck dissection at levels I, H, and HI was also performed.
6,7,15) Unlike selective neck dissection, sentinel node biopsy has the advantage of allowing for the direct evaluation of the first lymphatic drainage basin of a specific patient's tumor.
A white, 70-year-old woman with a history of a T4N0 squamous cell carcinoma of the left mandibular alveolar ridge was treated primarily with a left hemimandibulectomy, a partial glossectomy, a left selective neck dissection (levels I through IV), and reconstruction with a radial forearm free flap.
The patient subsequently underwent a right superficial parotidectomy with facial nerve dissection, a right selective neck dissection encompassing zones two and three, and a wide local excision of the ear lesion.
In all, 41 neck dissections were performed on 32 group A patients; of these, 36 (88%) were modified radical neck dissections, 4 (10%) were selective neck dissections, and 1 (2%) was a radical neck dissection.

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