Selective Neck Dissection
Introduction Selective neck dissection (SND) is distinguished by the preservation of lymph node groups and nonlymphatic structures that are removed during radical neck dissection. SND is a generic term that…
Superselective Neck Dissection
Introduction The nodal status of the neck remains one of the most important prognostic factors for overall survival in patients with cancer of the head and neck. The lymphatic drainage…
Sentinel Lymph Node Biopsy
Introduction Sentinel lymph node biopsy (SLNB) is primarily used in the head and neck for malignant melanoma and squamous cell carcinoma (SCC) of the oral cavity. The technique is employed…
Management of the Unknown Primary Cancer
Introduction Many patients with squamous cell carcinoma of the head and neck (SCCHN) present with metastasis to the cervical lymph nodes. Metastatic carcinoma in the neck without an identifiable primary…
Hyoid Suspension
Abstract For patients with moderate to severe obstructive sleep apnea who fail continuous positive airway pressure, a variety of surgical procedures are available. To determine the surgical intervention most suitable,…
Maxillomandibular Advancement for Obstructive Sleep Apnea
Introduction The fundamental principle of maxillomandibular advancement (MMA) is to move the muscular attachments of the hard palate, tongue, and suprahyoid soft tissue in an anterior direction by advancement of…
Office-Based Procedures: Fine-Needle Aspiration Biopsy of a Mass in the Head and Neck
Introduction When evaluating a patient with a mass in the head and neck, the fine-needle aspiration biopsy (FNAB) plays a critical role in the initial workup. It can help establish…
Genioglossus Advancement
Introduction The pathogenesis of obstructive sleep apnea (OSA) is complex and involves many anatomic and physiologic factors. The Fujita system for classifying the level of airway obstruction is often employed…
Hypoglossal Nerve Stimulation Therapy
Introduction The prevalence of obstructive sleep apnea (OSA), its complex pathophysiology, and the suboptimal adherence rates with positive pressure therapy require alternative treatment strategies in many OSA patients. Hypoglossal nerve…
Uvulopalatopharyngoplasty and Related Modifications (Traditional Uvulopalatopharyngoplasty, Uvulopalatal Flap, Anterior Palatoplasty)
Introduction Obstructive sleep apnea (OSA) is a dynamic collapse and obstruction of the upper airway occurring in sleep due to decreased upper airway neuromuscular activity. At least 13% of men…
