Abstract：
BACKGROUND:Hypothesizing that neck-level specific locations of residual lymph node metastases following chemoradiation for head and neck cancer are highly predictable, the efficacy of the more targeted lymphadenectomy procedure called super-selective neck dissection (SSND) was evaluated. METHODS:A retrospective analysis of the databases from 2 institutions indicated that 35 SSND's were performed on 30 patients following chemoradiation as either a planned or early salvage intervention. RESULTS:Over a median follow-up of 33 (range: 8-72) months, 8 patients developed recurrent disease (3 primary, 5 distant) but there were no isolated recurrences in the neck. The projected 5 year disease specific survival rate for the group was 60%. CONCLUSIONS:SSND is an effective intervention for patients with advanced head and neck cancer treated with chemoradiation whose risk for residual nodal disease is confined to one level.
journal_name
Oral Oncoljournal_title
Oral oncologyauthors
Robbins KT,Dhiwakar M,Vieira F,Rao K,Malone Jdoi
10.1016/j.oraloncology.2012.05.025subject
Has Abstractpub_date
2012-11-01 00:00:00pages
1185-9issue
11eissn
1368-8375issn
1879-0593pii
S1368-8375(12)00190-Xjournal_volume
48pub_type
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