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Modified Radical Neck Dissection for Cervical Metastasis
Published on: February 20, 2026
Selective neck dissection in treatment of node-positive neck cases
S S Konsulov1, I P Yovchev, I Y Doikov
1Medical University, Department of ENT diseases, 15A Vassil Aprilov St., 4000 Plovdiv, Bulgaria.
Folia Medica
|June 29, 2002
Summary
Selective neck dissection is a viable surgical option for laryngeal and hypolaryngeal cancer with cervical metastases. This approach offers a justifiable alternative to radical neck dissection, minimizing functional loss while managing node-positive cases effectively.
Area of Science:
- Oncology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Radical neck dissection for laryngeal/hypolaryngeal cancer has challenges, including cosmetic/functional deficits and persistent recurrence.
- Evolving techniques aim to balance oncologic control with reduced morbidity.
Purpose of the Study:
- To evaluate the efficacy and safety of selective neck dissection (SND) in patients with N1 and N2 cervical metastases from laryngeal and hypolaryngeal cancer.
- To determine if SND principles remain valid in the absence of gross extranodal extension.
Main Methods:
- Retrospective analysis of 10 patients with N1/N2 cervical metastases.
- Patients underwent supraomohyoid or lateral neck dissections.
- Minimum follow-up of 2 years.
Main Results:
- Selective neck dissection was applied to patients with N1 and N2 disease.
- The study reports on the experience with these specific neck dissection techniques.
- Outcomes for these patients over a 2-year follow-up period are presented.
Conclusions:
- Selective neck dissection appears justifiable for selected node-positive cases of laryngeal and hypolaryngeal cancer.
- SND may offer a less morbid alternative to radical neck dissection when specific criteria are met.
- Further investigation into expanding SND indications is warranted.
