To determine the effectiveness of selective neck dissection for management of the clinically negative neck in head and neck squamous cell carcinoma.
A retrospective comparison of patients treated electively with selective neck dissection and comprehensive neck dissection.
Academic tertiary referral center.
Patients with clinically negative necks and previously untreated head and neck squamous cell carcinoma.
Elective neck dissection, surgical treatment of the primary lesion, and postoperative radiotherapy as indicated.
Regional recurrence, distant metastasis, and disease-free survival.
Selective neck dissection was as effective as comprehensive procedures for staging the clinically negative neck. Occult metastases had a statistically significant effect on patient outcome as measured by distant metastasis.
Elective neck dissection provides invaluable staging information, which guides the decision for adjuvant therapy.Arch Otolaryngol Head Neck Surg. 1997;123:917-922
Pitman KT, Johnson JT, Myers EN. Effectiveness of Selective Neck Dissection for Management of the Clinically Negative Neck. Arch Otolaryngol Head Neck Surg. 1997;123(9):917-922. doi:10.1001/archotol.1997.01900090023004