Answer
Answer
United Kingdom (UK) National Multidisciplinary Guidelines from 2016 on the management of neck metastases in head and neck cancer included the following recommendations with regard to selective neck dissection [18] :
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Selective neck dissection is as effective as modified radical neck dissection for controlling regional disease in N0 necks for all primary sites
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Selective neck dissection alone is adequate treatment for pN1 neck disease without adverse histologic features
UK National Multidisciplinary Guidelines from 2016 regarding recurrent head and neck cancer included the following recommendations [19] :
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Consider elective selective neck dissections in patients with recurrent primaries with N0 necks, especially in advanced cases
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Selective neck dissection (with preservation of nodal levels, especially level V, that are not involved by disease) in patients with nodal (N+) recurrence appears to be as effective as modified or radical neck dissections
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Media Gallery
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Selective neck dissection levels I-III.
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Selective neck dissection levels II-IV.
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Selective neck dissection for thyroid cancer: selective neck dissection VI, or anterior neck dissection.
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Selective neck dissection for posterior scalp and upper posterolateral neck cutaneous malignancies: selective neck dissection II-V, postauricular, suboccipital, or posterolateral neck dissection.
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The 6 levels of the neck with sublevels.
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