O'Brien C J, Urist M M, Maddox W A
Am J Surg. 1987 Mar;153(3):310-6. doi: 10.1016/0002-9610(87)90614-3.
The terminology relating to the various modifications of radical neck dissection is loose and confusing. A simple system of nomenclature has been suggested which allows specification of the node levels dissected and the structures preserved. A technique of modified neck dissection, which excludes dissection of the posterior triangle and spares the sternocleidomastoid muscle and spinal accessory nerve, has been described. We believe this operation is appropriate when local disease is advanced and clinically uninvolved neck nodes are likely to harbor occult metastatic disease, when resection of the primary tumor is through the neck, or when clinical disease in the neck is minimal. Patients with multiple palpable nodes, patients with nodes larger than 3 cm in diameter, patients with disease in the posterior triangle, and patients in whom radiotherapy to the neck has failed may be better served by radical neck dissection.
与根治性颈清扫术各种改良术式相关的术语使用不严谨且容易混淆。有人提出了一个简单的命名系统，该系统能够明确所清扫的淋巴结水平以及保留的结构。本文描述了一种改良颈清扫术技术，该技术不包括后三角区的清扫，保留胸锁乳突肌和副神经。我们认为，当局部病变进展且临床上未受累的颈部淋巴结可能存在隐匿性转移疾病时，当通过颈部切除原发性肿瘤时，或者当颈部的临床病变很轻微时，这种手术是合适的。有多个可触及淋巴结的患者、淋巴结直径大于3cm的患者、后三角区有病变的患者以及颈部放疗失败的患者，可能更适合行根治性颈清扫术。
