Extent and Indications for Elective and Therapeutic Neck Dissection for Salivary Carcinoma

Otolaryngol Clin North Am. 2021 Jun;54(3):641-651. doi: 10.1016/j.otc.2021.02.006.

Abstract

Although salivary gland malignancies account for only a small percentage of all head and neck cancers, the incidence is increasing. Furthermore, there is a wide variety of histologic subtypes which must be taken into account in the context of their location. Each is associated with a different rate of regional metastasis and overall survival. This article examines the incidence of salivary gland malignancies and provides evidence for the indications for and extent of elective or therapeutic neck dissection based on location, pathologic type, and histopathologic characteristics.

Keywords: Elective neck dissection; Neck dissection; Salivary carcinoma; Salivary gland malignancy; Therapeutic neck dissection.

Publication types

  • Review

MeSH terms

  • Elective Surgical Procedures
  • Head and Neck Neoplasms*
  • Humans
  • Lymphatic Metastasis
  • Neck Dissection
  • Retrospective Studies
  • Salivary Gland Neoplasms* / surgery