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6.8.11: 11. Indications for Neck Dissection with Oral Cancer

  • Page ID
    18414
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    Clinically/radiologically N+ neck: Modified radical neck dissection (MND) / Radical neck dissection (RND)

    Clinically/radiologically N0 neck

    • >20% risk of occult nodes
      • T1 <4mm depth: Watchful waiting
      • T1 >4mm depth, T2-T4: Electively treat neck
    • Elective SND Levels I – IV of ipsilateral neck
    • Convert to MND if suspicious nodes in neck (+/- frozen section)
    • Elective contralateral neck dissection for tumour approaching/crossing midline

    D’Cruz AK, Vaish R, Kapre N et al. Elective versus Therapeutic Neck Dissection in Node-Negative Oral Cancer. 2015. N Engl J Med;373:521-9