{"title":"Sentinel lymph node biopsy","authors":"Kimberly Chan MD , Larissa Sweeny MD , Karen Y. Choi MD, FACS","doi":"10.1016/j.otot.2024.08.017","DOIUrl":null,"url":null,"abstract":"<div><div>Sentinel lymph node biopsy (SLNB) continues to evolve as a technique to detect occult metastases in early head and neck cancers. Patients without clinical evidence of neck metastasis have historically been treated with observation or elective neck dissection (END). However, for those patients with clinically negative necks who do not have occult metastases, performing an END results in overtreatment and increased morbidity. Therefore, SLNB has emerged as a way to evaluate for occult metastases to help guide further treatment and the need for a neck dissection. The purpose of this article is to provide an overview of SLNB and the operative techniques involved in head and neck cancers.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 4","pages":"Pages 347-355"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Otolaryngology - Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1043181024000733","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Sentinel lymph node biopsy (SLNB) continues to evolve as a technique to detect occult metastases in early head and neck cancers. Patients without clinical evidence of neck metastasis have historically been treated with observation or elective neck dissection (END). However, for those patients with clinically negative necks who do not have occult metastases, performing an END results in overtreatment and increased morbidity. Therefore, SLNB has emerged as a way to evaluate for occult metastases to help guide further treatment and the need for a neck dissection. The purpose of this article is to provide an overview of SLNB and the operative techniques involved in head and neck cancers.
期刊介绍：
This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.
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