Byrd Serena, Morris Luc G T
Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY 10065.
Oper Tech Otolayngol Head Neck Surg. 2018 Sep;29(3):157-161. doi: 10.1016/j.otot.2018.06.005. Epub 2018 Jul 3.
Salivary gland carcinomas are diverse, and their biological behavior and surgical management are also variable and somewhat controversial. Cervical lymph node status is an important prognostic variable for salivary gland malignancies. Neck dissection should be undertaken if there is clinical or radiographic evidence of associated nodal metastasis in the neck. However, indications for elective neck dissections in a clinically N0 neck remains a controversial topic. This article describes indications for elective neck dissection in salivary gland malignancies, provides a detailed review of the neck dissection technique, and discusses postoperative management of these patients.
涎腺癌种类多样，其生物学行为和外科治疗方法也各不相同，且存在一定争议。颈部淋巴结状况是涎腺恶性肿瘤重要的预后变量。如果颈部有临床或影像学证据表明存在相关淋巴结转移，则应进行颈部清扫术。然而，对于临床上颈部淋巴结阴性（N0）患者进行选择性颈部清扫术的指征仍是一个有争议的话题。本文描述了涎腺恶性肿瘤选择性颈部清扫术的指征，详细回顾了颈部清扫技术，并讨论了这些患者的术后管理。
