Page 27 - Head and neck surgery

(II) SENTINEL LYMPH NODE BIOPSY

The detected SLN is sent for frozen

section.

Modified radical neck dissection will be

performed if SLN is positive for

microscopic metastasis on frozen section.

If SLN is negative for microscopic

metastasis on frozen section, selective neck

dissection will still be performed as there is

currently no strong evidence that SLNB can Left. SLN viewed under routine white light.

replace staging neck dissection in head and Right. Fluorescent SLN viewed using Firefly mode of

neck cancer. Intuitive da Vinci Xi robotic surgical system.

Neck dissections can be performed using

robotic surgical system as described earlier. Chow VL, Chan JY, Ng JC, et al.

Surg Oncol. 2020 Mar;32:88-89.