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The Laryngoscope Lippincott Williams & Wilkins © 2008 The American Laryngological, Rhinological and Otological Society, Inc. Is Radical Neck Dissection a Current Option for Neck Disease? Alfio Ferlito, MD, FRCS, FACS; Alessandra Rinaldo, MD, FACS For many years after the first description of a suc- levels and sublevels of the lateral neck. In particular, cessful en bloc neck dissection by the Polish surgeon Jaw- RND is an overtreatment for N0 and N disease. Sublevel dyn ´ ski in 1888, this procedure was the only operation IA is usually not involved in advanced tumors of the accepted for the surgical treatment of the neck in patients larynx, hypopharynx, oropharynx, nasopharynx, parotid with cancer of the head and neck staged N0 or otherwise. gland, submandibular gland, thyroid gland, parathyroid The operation he described has come to be known as the gland, trachea, and cervical esophagus. There is no pri- radical neck dissection (RND). This surgical procedure mary cancer of the head and neck in which there is a high was strongly advocated by Crile in the early 20th centu- risk for involvement of sublevels IA and IB, IIA and IIB, 2– 4 5 ry and well established by Martin et al.
The Laryngoscope – Wolters Kluwer Health
Published: Oct 1, 2008
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