Resumo

CADENA-P, Enrique. The evident effectiveness of superselective neck dissection. rev.fac.med. [online]. 2014, vol.62, n.3, pp.1-24. ISSN 0120-0011.  https://doi.org/10.15446/revfacmed.v62n3.42339.

All specialists managing a patient suffering head and neck cancer must ask themselves which is the best way to treat the neck. Several types of analysis are performed routinely for defining local, regional and distance extension sites. Cervical nodes have risk of microscopic metastases; this depends on the size and level of tumour invasion which is why routine prophylactic neck dissections are made, even during early stages, because of possible complications and associated morbidity. The use of the sentinel node was thus accepted during the last decade for reducing such probability, even for early tumours of the oral cavity. Salvage surgery involving superselective neck dissection (SSND) for metastasis (in recurrence or persistence after treatment with chemotherapy and/or radiotherapy) of lymph nodes in the neck has increased during recent years. SSND has also been considered useful for managing the neck in cases clinically graded N(0) or N(1) involving patients suffering cancer of the upper digestive tract. As such indication causes controversy and leads to diverging opinions, this article discusses the usefulness of this type of dissection.

Palavras-chave : Neck Dissection; Carcinoma; Head and Neck Neoplasms; Sentinel Lymph Node Biopsy.

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