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6.5.12: 12. Indications for Neck Dissection with T3/T4 Glottic Cancers

  • Page ID
    18352
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    • Clinically N0 neck
      • Ipsilateral elective neck dissection Levels II– IV
      • Convert to MND if suspicious nodes in neck (+/- frozen section)
      • Contralateral elective neck dissection Levels II– IV for tumour crossing midline or significant supraglottic extension
      • Level VI (pre- and paratracheal nodes) with subglottic extension or extension to piriform fossa…also requires thyroid lobectomy
    • Clinically N+ neck: Modified radical neck dissection (MND) / Selective Levels II-IV / Radical neck dissection (RND)