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Letters to the Editor
September 1998

Selective Neck Dissection

Author Affiliations

Not Available

Arch Otolaryngol Head Neck Surg. 1998;124(9):1044-1045. doi:10.1001/archotol.124.9.1042

In his commentary, Johnson1argued that surgical therapy was adequate treatment for patients with limited metastatic disease in the neck (1-2 involved nodes confined by the capsule of the nodes) and that these patients could be spared radiation selective neck dissection but comprehensive neck dissection.

In other words, he appeared to be advocating the most extensive surgery for patients with the least amount of cancer. To me, this seemed no more logical than performing total laryngectomies for T1 supraglottic carcinomas, while reserving voice-conserving procedures for those with more extensive disease.

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