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6.6.12: 12. Indications for Neck Dissection with Supraglottic Cancers

  • Page ID
    • Unlike glottic cancer, supraglottic cancers have a high propensity for
      • Occult cervical nodal metastases
      • Bilateral nodal metastases
    • T2-4 and clinically N0 neck
      • Bilateral elective neck dissection Levels II– IV
      • Convert to MND if suspicious nodes in neck (+/- frozen section)
      • Level VI (pre and paratracheal nodes) with subglottic extension or extension to piriform fossa…requires thyroid lobectomy
    • Clinically N+ neck
      • Modified radical neck dissection (MND) / Radical neck dissection (RND)
      • Elective neck dissection Levels II– IV of contralateral N0 neck