| Summary: | This video illustrates and describes selective neck dissection (SND) in a patient with early-stage oral squamous cell cancer. SND is the current standard of care in management of the node-negative neck in this cancer owing to the high propensity for neck nodal metastasis. SND is designed to remove, in a compartmental fashion, the cervical lymph nodes at risk for involvement by metastatic disease. The procedure is characterized by the preservation of one or more of the lymph node groups routinely removed in radical neck dissections as well as non-lymphatic structures. In this video, neck nodal levels I to III are cleared, starting with levels Ia and Ib and proceeding to levels II and III. The anatomical structures encountered are identified and all of the technical steps are clearly demonstrated.
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