Page 43 - Head and neck surgery
P. 43

PAROTID TUMOUR                                   SUBMANDIBULAR TUMOUR
                    In cN0 disease, staging neck

                    dissection              should             be

                    performed to cater for any

                    microscopic                        tumour


                    deposits.




                    Recommended                   levels        of
                    lymph           node           dissection


                    include          levels        II-IV      for
                    malignant parotid tumours,


                    and          levels           I-III       for
                    submandibular / sublingual


                    malignant tumours.                                         Distribution of occult lymph node metastasis in (left) parotid cancers and
                                                                                                           (right) submandibular cancers.




                                                                                                                                Adv Otorhinolaryngol. Basel, Karery, 2016, vol 78 132-140
   38   39   40   41   42   43   44   45   46   47