Description
The management of lymph node metastases from Head and
Neck Cancers has undergone rapid changes over the last decade,
its terminology however remains confusing. Modified neck dissections
preserving head and neck structures, in particular, the accessory
nerve are widely practised and have resulted in a reduction
in post-operative morbidity.
Selective neck dissection is of value in the management
of clinically node negative neck both as a therapeutic treatment
avoiding radiotherapy and for pathological staging. It is
suggested and shown by the authors that a lateral selective
neck dissection may be safely performed on selected node positive
necks.
