Abstract
Meticulous mapping of the lymph node status is a general principle in present-day head and neck surgery. The removal of a certain number of lymphatic levels during neck dissection may well be therapeutic in intent, but it is also mandatory for correct tumour staging. We pre- sent a precise lymph node mapping during dif- ferent types of neck dissection in the course of major head and neck surgery by a sterile plastic tray moulded in the shape of the neck. This de- vice makes lymph node mapping simpler, safer, quicker and methodically more structured than any of the present methods. It facilitates the work of the pathologist and the flow of reliable information along the surgeon－pathologist- oncologist chain. With this device, a more stru- ctured, methodical means of lymph node removal has become possible.
Highlights
In 1906, George Crile published a report on what is considered the first surgical procedure for the en bloc resection of cervical nodes [1]
A variety of different types of neck dissection are available that are considered on- cologically, functionally and cosmetically effective in the therapeutic or prophylactic treatment of the neck in patients with head and neck cancers
Meticulous mapping of the lymph node status is a general principle in present-day head and neck surgery
Summary
In 1906, George Crile published a report on what is considered the first surgical procedure for the en bloc resection of cervical nodes [1]. For the first time the non-lymphatic structures (the spinal accessory nerve, the internal jugular vein and the sternocleidomastoid muscle) were preserved, and only the lymph nodes between the aponeurotic compartments of the neck were removed [3].
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