Page 30 - Head and neck surgery

In our center, selective neck dissection is

offered, removing nodal basins with the CNXI

highest chance of metastasis i.e. levels I, II SCM

and III in oral cavity cancer a.k.a. supra-

omohyoid neck dissection.

This serves as a means to detect micro- IJV

metastasis which is ~8% and hence, stage the CP

neck more accurately a.k.a. staging neck

dissection. Such benefits outweighs the risks

of neck dissection, which is minimal in On completion of supra-omohyoid neck dissection via an

experienced hands. upper neck linear incision. Cervical plexus (CP) which is
the posterior boundary of supra-omohyoid neck
dissection can be seen.