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Radical Neck Dissection for Cervical Lymph Node Metastases of Intraoral Carcinoma: A Reevaluation

Radical Neck Dissection for Cervical Lymph Node Metastases of Intraoral Carcinoma: A Reevaluation Abstract The standard treatment of metastatic lymph nodes in the neck from oral carcinoma is surgical excision. Since the beginning of this century, adequate surgical procedures have been described and used by many surgeons. Priority must be given to Butlin (1900)1 and Crile (1906),2 both having described the so-called radical neck dissection (the latter's operation being more extensive and the type of operation practiced in our hospital). Nearly all surgeons who are called upon to treat malignancy of the head and neck have no doubt as to the efficacy of the radical neck dissection where there are cervical node metastases. The prophylactic neck dissection, that is, the dissection done without palpable neck nodes, was discontinued in our hospital in the middle 1930's. The reason for this was the very low percentage of positive metastatic nodes found at pathological examination. However, many careful studies have been produced during the last References 1. Butlin, H. T., and Spencer, W. G.: Diseases of the Tongue , London, 1900. 2. Crile, G.: Excision of Cancer of the Head and Neck with Special Reference to the Plan of Dissection Based on 132 Operations , J.A.M.A. 47: 1780, 1906.Crossref 3. MacFee, W. F.: Carcinoma of the Floor of the Mouth , Ann. Surg. 149:172, 1959.Crossref 4. Shands, W. G.: Radical Neck Dissection in the Management of Head and Neck Carcinoma , Am. Surgeon 25:458, 1959. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Radical Neck Dissection for Cervical Lymph Node Metastases of Intraoral Carcinoma: A Reevaluation

Archives of Surgery , Volume 81 (2) – Aug 1, 1960

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Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1960.01300020061009
Publisher site
See Article on Publisher Site

Abstract

Abstract The standard treatment of metastatic lymph nodes in the neck from oral carcinoma is surgical excision. Since the beginning of this century, adequate surgical procedures have been described and used by many surgeons. Priority must be given to Butlin (1900)1 and Crile (1906),2 both having described the so-called radical neck dissection (the latter's operation being more extensive and the type of operation practiced in our hospital). Nearly all surgeons who are called upon to treat malignancy of the head and neck have no doubt as to the efficacy of the radical neck dissection where there are cervical node metastases. The prophylactic neck dissection, that is, the dissection done without palpable neck nodes, was discontinued in our hospital in the middle 1930's. The reason for this was the very low percentage of positive metastatic nodes found at pathological examination. However, many careful studies have been produced during the last References 1. Butlin, H. T., and Spencer, W. G.: Diseases of the Tongue , London, 1900. 2. Crile, G.: Excision of Cancer of the Head and Neck with Special Reference to the Plan of Dissection Based on 132 Operations , J.A.M.A. 47: 1780, 1906.Crossref 3. MacFee, W. F.: Carcinoma of the Floor of the Mouth , Ann. Surg. 149:172, 1959.Crossref 4. Shands, W. G.: Radical Neck Dissection in the Management of Head and Neck Carcinoma , Am. Surgeon 25:458, 1959.

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1960

References