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Updated: Jun 15, 2026
06:05
Modified Radical Neck Dissection for Cervical Metastasis
Published on: February 20, 2026
Postoperative morbidity after different types of selective neck dissection
Afshin Teymoortash1, Stephan Hoch, Behfar Eivazi
1Department of Otolaryngology, Head and Neck Surgery, Philipp University, Deutschhausstrasse 3, 35037 Marburg, Germany. teymoort@med.uni-marburg.de
The Laryngoscope
|March 12, 2010
Summary
Selective neck dissection (SND) is an effective cancer treatment with low morbidity. This study found acceptable functional and aesthetic outcomes for patients undergoing SND, with minimal surgical complications.
Area of Science:
- Oncology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Selective neck dissection (SND) is a standard oncologically efficient procedure for the N0 neck.
- Functional outcomes of SND are debated, necessitating further investigation into associated morbidity.
Purpose of the Study:
- To analyze the frequency and types of morbidity associated with selective neck dissection (SND).
Main Methods:
- Retrospective analysis of clinical data from 98 patients who underwent unilateral SND.
- Functional and aesthetic outcomes evaluated in 52 patients during aftercare consultation.
- Mean follow-up period of 2.6 years, with contralateral neck serving as control.
Main Results:
- SND complications included thoracic duct injury in 4% of patients with level IV dissection.
- 19.2% experienced persistent mild lymphedema; 65.4% reported sensory disturbances at the incision site.
- No significant side differences in head, neck, or shoulder function were observed; 96.2% reported no movement restrictions.
Conclusions:
- Selective neck dissection demonstrates a low incidence of surgical complications.
- SND yields acceptable functional and aesthetic results for patients with N0 neck cancer.
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