Neck dissections: radical to conservative

摘要: Neck dissection is an important surgical procedure for the management of metastatic nodal disease in neck. The gold standard neck has been radical dissection. Any modification always compared with this standard. Over last few decades, order to alleviate morbidity dissection, several modifications and conservative procedures have advocated. These retain certain lymphatic or non-lymphatic structures shown not compromise oncological safety. A literature search Medline was carried out all articles on dissections. were systematically reviewed analyze trace evolution then categorized address nomenclature, node positive negative including those who had received chemoradiation. present article discusses its migration more possible advances near future. Radical now replaced modified dissections most situations. Attempts are being made replace selective early positivity. Sentinel biopsy studied issue More surgeries likely 'radical' bygone era. This process facilitated by earlier detection better understanding cancer biology.