Neck Dissection

Neck dissection is the most effective therapy to eradicate metastatic cancer involving the cervical lymphatics. Since its early use, the procedure has evolved from one of radical extirpation to focused removal based on biologic risk and patterns of spread. Consequently, the complications of its use have been reduced substantially. Specific nuances of performing the procedures are associated with the site of origin of the disease. Neck dissection is often used in combined modality therapy in which case modifications are important. Advances in detecting lymph node metastases allow for more specific use of employing the procedure. Novel variations in technique for neck dissection, such as super-selective procedures and limited access approaches, purport further reduction in morbidity without compromising efficacy.