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Neck dissection
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==Classification of neck dissections== The 2001 revisions proposed by the American Head and Neck Society (AHNS) and the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) are as follows. # Radical Neck Dissection ('''RND''') β removal of all [[ipsilateral]] cervical lymph node groups from levels I through V, together with SAN, SCM and IJV. # Modified Radical Neck Dissection ('''MRND''') β removal of all lymph node groups routinely removed in a RND, but with preservation of one or more nonlymphatic structures (SAN, SCM and IJV). # Selective Neck Dissection ('''SND''') (together with the use of parentheses to denote the levels or sublevels removed) β cervical [[lymphadenectomy]] with preservation of one or more lymph node groups that are routinely removed in a RND. Thus for oral cavity cancers, SND (IβIII) is commonly performed. For oropharyngeal, hypopharyngeal and laryngeal cancers, SND (IIβIV) is the procedure of choice. # Extended Neck Dissection. This refers to removal of one or more additional lymph node groups or nonlymphatic structures, or both, not encompassed by the RND.
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