A composite operation for radical neck dissection and removal of cancer of the mouth

Mandibular invasion in oral squamous cell carcinoma: investigation by clinical examination and orthopantomogram

“…However, MARCHETTA et al 24,25 , demonstrated that carcinomatous involvement of the mandible occurred by direct invasion rather than by lymphatic spread and that mandible could be preserved if there was clinically normal tissue intervening between tumour and bone. These findings led to the consideration of more conservative operations preserving mandibular continuity in lesions not invading into bone without adversely affecting local tumour control 12,14,19,45,47 .…”

Focus Issue: Neck Dissection for Oropharyngeal Squamous Cell Carcinoma

“…However, the significant morbidity associated with the RND, especially related to postoperative shoulder dysfunction, provided an impetus for research into alternate approaches to the neck. The discovery that lymphatic structures within fascial compartments of the neck could be removed without sacrificing nonlymphatic structures [7, 46] prompted investigation into more conservative techniques. Ward and Robben reported the first form of a modified radical neck dissection (MRND) by in which they spared the spinal accessory nerve (SAN) [46].…”

“…The discovery that lymphatic structures within fascial compartments of the neck could be removed without sacrificing nonlymphatic structures [7, 46] prompted investigation into more conservative techniques. Ward and Robben reported the first form of a modified radical neck dissection (MRND) by in which they spared the spinal accessory nerve (SAN) [46]. This procedure resulted in decreased shoulder morbidity without compromising oncologic outcome [17].…”

“…The MRND as described initially by Ward and Robben [46] and further defined by Medina [52] involves en bloc resection of lymphatic tissue contained in level I–V [7] with the preservation of one or more nonlymphatic structures (SAN, IJV, or SCM) [7]. The description of a MRND can be subclassified as type I–III depending on the nonlymphatic structure(s) removed during resection (Table 3) [52].…”

Advanced Developments in Neck Dissection Technique: Perspectives in Minimally Invasive Surgery

“…The lateral boundary of the dissection was the anterior border of the trapezius muscle, and the medial border was the midline of the neck, superficial to the infrahyoid muscles, and the opposite digastric muscle superficial to the suprahyoid (mylohyoid) muscle (Ferlito et al, 2009). A standard selective neck dissection that spares the spinal accessory nerve was also described (Ward & Robben, 1951). At that time, the technique of neck dissection included the en-bloc resection of the spinal accessory www.intechopen.com Advanced Developments in Neck Dissection Technique: Perspectives in Minimally Invasive Surgery 89 nerve, the jugular vein and the sternocleidomastoid muscle, and in some cases, the resection of the vagus nerve.…”