Modified & Radical Neck Dissection

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2025-03-03

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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery

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University of Cape Town

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Abstract
Neck dissection removes potential or pro-ven metastases to cervical lymph nodes. It is a complex operation and requires a sound knowledge of the 3-dimensional anatomy of the neck. Indications: Neck dissection may be elective (END) when done for clinically occult metastases, therapeutic (clinical metastases) or may be a salvage procedure (previously treated with surgery +/ radiation). END is indicated when the risk of having occult cervical nodal metastases exceeds 15-20%.
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