engleski

Evolution of the neck dissection phylosophy

We followed the evolution of planning and performing neck dissection since the first Crile en block ressections. Many new, more selective methods, the choice of which depends on the tumor site and its metastases, have been developed since the first procedures. There has been strict acceptance of the neck dissection accomplishment accord-ing to contemporary protocols for removal of micrometastasis in the 90s to differentiate it from the 80s. Due to this, a new methodology of preoperative staging as well as post-operative follow-up and systematized nomenclature have been introduced ; the number of elective and bilateral dissections has increased ; and the number of elective radio-therapies and postoperative irradiation has decreased.The main purpose of the report is to show the impact of these changes on the number of larynx and neck dissection procedures, and on changes in their interaction during the last two decades. The number of dissections and the choice of the method of dissection depending on tumor site and type of laryngectomy are discussed. The results showed a significant improvement in the indications, better selec-tivity, and an increase of the overall number of dissections.

dissection; neck cancar

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