Functional and selective neck dissection pdf

Rather than use specific names for a particular neck dissection, it has become standard practice to call the neck dissection performed according to the levels of the neck. Academys classification 3 any neck dissection that preserves one or more groups or levels of lymph nodes is referred to as a selective neck dissection snd 4 an extended neck dissection refers to the removal of additional lymph node groups or non lymphatic structures relative to the rnd 65. The functional and cosmetic advantages of fnd are meritorious. It was bocca and pignataro who first described the functional neck dissection or mnd iii in their landmark paper in 1967. Their vigorous and constant efforts led to the development of a large variety of new techniques for neck dissection, such as functional neck dissection and selective neck dissection. You will find the rationale, indications, surgical steps, and results of these procedures, and be better equipped to handle a wide range of complex clinical situations.

Interest developed in understanding the prognostic factors of metastatic disease in the neck. Shoulder function after selective and superselective neck. Neck dissection, also known as cervical lymphadenectomy, is the surgical procedure for the management of metastatic cervical lymphadenopathy. The application of selective neck dissection while preserving the. It con tains the parotid and submandibular glands, the thyroid gland, several lymph nodes, and is crossed by important blood and lymphatic vessels, nerves, and by the respiratory and di. Suarez, described the facial compartments in the neck and facial envelope covering a selective group of lymph nodes. History selective neck soliscohen proposed removal of uninvolved nodes during laryngectomy in 1901 functional neck dissection was described by suarez in 19631 bocca popularised this, published outcome in 843 patients in 19842 1 ferlito a et. Selective neck dissection in surgically treated head and neck. This richly illustrated guide provides a detailed stepbystep description of operative techniques involved in neck dissection. Selective neck dissections are generally performed on an elective basis. You will find the rationale, indications, surgical steps, and. Functional and selective neck dissectionepub all ebook. Neck dissection is an integral part in the management of patients with head and neck cancer. To determine the incidence of internal jugular vein thrombosis after functional or selective neck dissection.

Save up to 80% by choosing the etextbook option for isbn. We have detailed the technique of a selective neck dissection with more. This preserves more of the shoulder and neck function. It con tains the parotid and submandibular glands, the thyroid gland, several lymph nodes, and is crossed by important blood and lymphatic vessels, nerves, and by the respiratory and di gestive tracts. It has been established that an appropriately indicated selective neck dissection can achieve the same oncologic results as more extensive dissections. Evidence of extracapsular spread by clinical or radiographic evaluation ie, fixed nodes. Today, these functionpreserving operative methods play a leading role in surgical treatment of neck metastases. A radical neck dissection involves the removal of all lymph nodes, muscles, nerves and blood vessels on the affected side of the neck.

Selective neck dissection here each variation is depicted by the term snd and the use of parentheses to denote the levels or sublevels removed 4. Functional and selective neck dissection ebook por javier. The supraomohyoid neck dissection is a selective cervical node dissection that removes the contents of the submental and submandibular triangles lymph node. We performed selective neck dissection iiaiibiiiiv in 11 cases group a and superselective neck dissection in 6 cases group b. Functional and selective neck dissection like4book. Neck dissection classification radiology reference. A step by step account of the operative technique in functional. Modified or functional neck dissection avoids much of the morbidity of radical neck dissection while achieving equivalent degrees of control of regional disease in properly selected cases.

Functional and selective neck dissection 1st edition by javier gavilan and publisher thieme medical publishers. It is introduced with a thorough description of the history and evolution of the various types of procedure. Stepbystep descriptions of functional dissection surgeries, demonstrated with more than 200 highquality, sequential operative photographs and drawings, highlight and clarify all points. Otolaryngology functional and selective neck dissection. The functional neck dissection for lymph node neck. A less invasive, selective, functional neck dissection for. Adeola however, in this report, only the lymph node at the 5diaz em jr, austin jr, burke li, goepfert h. Functional and selective neck dissection british journal of oral. For all surgeons who manage patients with head and neck cancer, this informationpacked book offers both a new approach and a new philosophy of treatmentone that rejects radical procedures except in advanced disease and focuses on a combined functional and selective approach for. It became known as functional neck dissection, with the major. The operation is based on the fascial compartmentalization of the neck. Selective neck dissection snd together with the use of parentheses to denote the levels or sublevels removed cervical lymphadenectomy with preservation of one or more lymph node groups that are routinely removed in a rnd. In contrast, the anterior region, which is the object of this dissection, holds the internal organs.

End is indicated when the risk of having occult cervical nodal metastases. Selective neck dissection in the clinically positive neck patel, rs et al head and neck 30. An even more modified selective neck dissection, termed superselective neck dissection, involves the compartmental removal of the fibrofatty tissue contents within the defined boundaries of two or fewer contiguous neck. Patients underwent serial doppler ultrasonographic examinations of their internal jugular veins, on postoperative days 1 and 7, following functional neck dissection. Internal jugular vein thrombosis after functional and. Classification lymph node groups structures removed selective i iiiiv. The complexity of the head and neck region makes this procedure an inherently delicate undertaking for surgeons from different specialties who treat head and neck cancer. There are multiple types of neck dissection that vary by the structures removed 1. The selective neck dissection addresses a select group of lymph nodes based on the location of the highest incidence of metastatic disease, thus supraomohyoid neck dissection became very popular as a staging procedure for cancer of the oral cavity. This fact might help patients to have better subjective outcomes, but also to lessen morbidity after a. Functional and selective neck dissection lawr by alex. Recent reports have further decreased the extent of selective neck dissections to include nidusectomy or removal of only the abnormal metastastic residual after chemoradiotherapy. A total of 100 patients were selected for this study. A less invasive, selective, functional neck dissection for papillary thyroid carcinoma article in langenbeck s archives of surgery 3905.

A functional neck dissection removes all the lymph nodes and tries to spare the muscles, nerves and blood vessels. Pdf functional and selective neck dissection iia following. A step by step account of the operative technique in functional neck dissection is then given, but there is little disn. For all surgeons who manage patients with head and neck cancer, this informationpacked book offers both a new approach and a new philosophy of. A less invasive, selective, functional neck dissection for papillary thyroid carcinoma. Selective neck dissection vula university of cape town. All head and neck surgeons, otolaryngologists, maxillofacial surgeons, plastic surgeons. Selective neck dissection iowa head and neck protocols. Selective neck dissection is a procedure that is primarily indicated in patients with. These include the functional neck dissection, the modified radical neck dissection, and various selective neck dissections.

Functional neck dissection fnd was described by osvaldo surez in the early 1960s. Selective neck dissection removes the cervical lymph nodes considered to be at high risk for metastasis from a given primary site. Functional and selective neck dissection 1st edition. In modified radical neck dissection and selective and superselective neck dissections, the manipulation of the spinal accessory nerve is lower 1. Functional and selective neck dissection begins with a full explanation of the fascial compartmentalization of the neck, and goes on to explain and illustrate the procedures. Neck dissection has been an adjunct surgical procedure in the management of malignancies affecting the head and neck region. He proposed a modification of crile and martins radical neck dissection, which he termed as a functional neck dissection. Since the first description of the radical neck dissection by george crile almost a century ago, many variations and modifications of the procedure have been added. Functional and selective neck dissection pdf free download. Functional and selective neck dissection by gavilan. The course is based on experience with more than 1500 fnds performed since 1969. With a whole new approach to neck dissection, this superb book examines the differences between surgical techniques. All patients underwent clinical examination before surgery to evaluate shoulder function.