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 ?
Is selective neck dissection adequate treatment for node-positive disease?
Pattern of lymph node metastases in squamous cell carcinoma of the tonsil: implication for selective neck dissection. Oral Oncol 2009; 45: 212-7.
Efficacy of selective neck dissection: a review of 503 cases of elective and therapeutic treatment of the neck in squamous cell carcinoma of the upper aerodigestive tract.
Sensory changes associated with selective neck dissection. Arch Otolaryngol Head Neck Surg 2000;126(3):425-8.
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.
Objective information on the results of SAN-sparing neck dissections (modified and selective neck dissections) is important because shoulder syndrome secondary to SAN trauma is the most common morbidity of neck dissection.
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.
A superficial or total parotidectomy and/or a selective neck dissection is recommended, depending on the extent and location of the tumor.
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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