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Updated: Aug 7, 2026
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Modified Radical Neck Dissection for Cervical Metastasis
Published on: February 20, 2026
Mediastinal dissection in head and neck cancer
A Yakirevitch1, Z Horowitz, D Simansky
1Department of Otolaryngology--Head and Neck Surgery, The Chaim Sheba Medical Center, Tel-Hashomer, Israel. arkadiyak@hotmail.com
The Journal of Laryngology and Otology
|July 25, 2006
Summary
Mediastinal dissection is rarely reported in head and neck cancer surgery. However, this procedure offers a chance for cure in selected patients with mediastinal lymph node involvement or direct tumor invasion.
Area of Science:
- Head and Neck Surgery
- Surgical Oncology
- Thoracic Surgery
Background:
- The superior mediastinum harbors numerous lymph nodes, occasionally affected by head and neck cancers.
- Mediastinal dissection is infrequently documented in head and neck surgical practice.
Observation:
- This study reports on seven patients with head and neck tumors who underwent mediastinal dissection.
- Patient outcomes varied, with three disease-free survivors, two alive with disease, and two peri-operative deaths.
Findings:
- Direct invasion or lymph node metastasis of head and neck cancers to the mediastinum is uncommon.
- Mediastinal dissection can be a curative option for select head and neck cancer patients.
Implications:
- This surgical approach may offer a curative pathway in specific head and neck cancer cases with mediastinal involvement.
- Further research into patient selection and surgical techniques for mediastinal dissection in head and neck oncology is warranted.
