Extirpative Considerations of Melanoma of the Head and Neck

Danielle Olla; Anthony P Tufaro; Michael W Neumeister

doi:10.1016/j.cps.2021.06.003

Extirpative Considerations of Melanoma of the Head and Neck

Clin Plast Surg. 2021 Oct;48(4):659-668. doi: 10.1016/j.cps.2021.06.003.

Authors

Danielle Olla¹, Anthony P Tufaro², Michael W Neumeister³

Affiliations

¹ Institute for Plastic Surgery, Southern Illinois University, 747 North Rutledge Street #3, Springfield, IL 62702, USA. Electronic address: dolla41@siumed.edu.
² University Hospitals Cleveland Medical Center, 11100 Euclid Aveune, Suite 5206, Cleveland, OH 44106, USA.
³ Department of Surgery, The Elvin G Zook Endowed Chair - Institute for Plastic Surgery, Southern Illinois University, 747 North Rutledge Street #3, Springfield, IL 62702, USA.

PMID: 34503726
DOI: 10.1016/j.cps.2021.06.003

Abstract

The incidence of melanoma is continuing to rise in the United States, and head and neck melanomas account for 25% of all cutaneous melanomas. The National Comprehensive Cancer Network guideline recommendations for surgical margins and sentinel lymph node biopsy in head and neck melanomas are the same as cutaneous melanoma located in other regions, but require special considerations when performing wide local excision, sentinel lymph node biopsy, and completion lymph node dissection and reconstruction taking into account the location of the melanoma and structures involved in and around the suggested margins.

Keywords: Head and neck; Head and neck melanoma; Melanoma; Sentinel lymph node biopsy; Surgical considerations; Surgical management.

Publication types

Review

MeSH terms

Head and Neck Neoplasms* / epidemiology
Head and Neck Neoplasms* / surgery
Humans
Lymph Node Excision
Lymph Nodes
Melanoma* / epidemiology
Melanoma* / surgery
Neck
Retrospective Studies
Sentinel Lymph Node Biopsy
Skin Neoplasms* / epidemiology
Skin Neoplasms* / surgery