Neck Dissection - Clinical Appln., Recent Advs.

174 Pages·2012·18.99 MB·English

by  R. Kummoona

NECK DISSECTION –
CLINICAL APPLICATION
AND RECENT ADVANCES

Edited by Raja Kummoona
Neck Dissection – Clinical Application and Recent Advances
Edited by Raja Kummoona

Published by InTech
Janeza Trdine 9, 51000 Rijeka, Croatia

Copyright © 2012 InTech
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Technical Editor Teodora Smiljanic
Cover Designer InTech Design Team

First published February, 2012
Printed in Croatia

A free online edition of this book is available at www.intechopen.com
Additional hard copies can be obtained from [email protected]

Neck Dissection – Clinical Application and Recent Advances,
Edited by Raja Kummoona
p. cm.
ISBN 978-953-51-0104-8

Contents

Preface IX
Head and Neck Cancer and Neck Dissection -
A Personal View 1
Raja Kummoona
Part 1 History of Neck Dissection 5
Chapter 1 A Brief History of Cervical Lymphadenectomy 7
Jeremiah C. Tracy
Part 2 Different Techniques of Neck Dissection & Complications 23
Chapter 2 Neck Dissection – Techniques and Complications 25
Jaimanti Bakshi, Naresh K. Panda,
Abdul Wadood Mohammed and Anil K. Dash
Chapter 3 Roles of Therapeutic Selective Neck
Dissection in Multidisciplinary Treatment 49
Muneyuki Masuda, Ken-ichi Kamizono, Hideoki Uryu,
Akiko Fujimura and Ryutaro Uchi
Chapter 4 Complications of Neck Dissection 61
Nader Saki and Soheila Nikakhlagh
Part 3 Advances and Modification of Neck Dissection 69
Chapter 5 Lateral Cervical Flap a Good Access
for Radical Neck Dissection 71
Raja Kummoona
Chapter 6 Advanced Developments in Neck Dissection Technique:
Perspectives in Minimally Invasive Surgery 87
Jandee Lee and Woong Youn Chung
VI Contents

Chapter 7 Surgical Management of the Spinal Nerve
in Modified Radical Neck Dissection 103
Attilio Carlo Salgarelli and Pierantonio Bellini
Chapter 8 Management for the N0 Neck of SCC in the Oral Cavity 113
Masaya Okura, Natsuko Yoshimura Sawai,
Satoshi Sumioka and Tomonao Aikawa
Chapter 9 Neck Dissection of the Head and Neck Sarcoma 125
Yuki Saito and Takahiro Asakage
Chapter 10 Rare Malignant Tumors of the Parotid Glands:
Oncocytic Neoplasms 137
Fatih Oghan, Tayfun Apuhan and Ali Guvey
Chapter 11 Current Concept of Selective Nek Dissection 149
H. Hakan Coskun

Preface

Advances in the management of cervical lymph node deposit required many
modalities in surgery, deep X-ray therapy and chemotherapy. In order to achieve
maximal effectiveness when treating a patient, it is essential to take considerable
criteria factors such as: the pathology of a particular tumor (beside the status of
patient's general condition) and the anatomy of the region. It is important that the
pathology is assessed by the surgeon and not by the pathologist.
The chosen title of the book is based on different techniques used for lymphadenactomy:
radical neck dissection, selective neck dissection and conservative neck dissection,
including the preservation of the spinal accessory nerve, internal jugular vein and sterno
mastoid muscle, using techniques such as the endoscopic technique with reboot surgery
and other types of incisions. Recently the design of the lateral cervical flap proved to be
an excellent access for different modalities of lymph adenactomy.
The treatment of the majority of patients with lymph node metastasis required a
multidisciplinary approach. The joined efforts of the surgeon, radiotherapist,
oncologist and pathologist are necessary for a successful outcome. They should all be
involved in the treatment plan and should understand the principle and current
applications of chemotherapy and radiotherapy in neck cancer metastasis.
The book comprises 11 chapters (including the Introductory chapter), which fall
naturally into three main sections: I) History of neck dissection, II) Different techniques
of neck dissection and Complications, III) Advances and modification of neck dissection.
This type of publication required a great support and effort both from the book editor
and from the publishing team. I would like to extend my thanks and gratitude to Ms
Natalia Reinic, editor relations consultant, and to the publishing process managers Ms
Alenka Urbancic, Mr Marko Rebrovic and Ms Silvia Vlase. All these people spent a lot
of time into making this book a worthwhile publication and interesting to the readers
and top specialist concerned with neck dissection.

Prof. Raja Kummoona
Professor Emeritus of Maxillofacial Surgery
Acting Chairman of Maxillofacial Surgery
Iraqi Board for Medical Specializations
Baghdad, Iraq