## OutsourcingÐ facts and ®ction As the E-commerce revolution creates a frontal attack on industry after industry and threatens to transform traditional industry structures into new con®gurations, managers will be forced to rethink their outsourcing strategies in profound ways. .
Functional neck dissection: Fact and fiction
✍ Scribed by Alfio Ferlito; Javier Gavilàn; J. Graham Buckley; Ashok R. Shaha; Adam J. Miodoński; Alessandra Rinaldo
- Publisher
- John Wiley and Sons
- Year
- 2001
- Tongue
- English
- Weight
- 116 KB
- Volume
- 23
- Category
- Article
- ISSN
- 1043-3074
- DOI
- 10.1002/hed.1115
No coin nor oath required. For personal study only.
✦ Synopsis
Neck dissection is a valuable method for treating clinical, subclinical, and subpathologic metastasis from cancer of the head and neck. So much has been written and said on the subject that it is necessary to distinguish the fact from the fiction. If you think you have discovered something new, it is because you did not read enough. This popular statement is particularly valid for the neck dissection.
Jacob Da Silva Solis-Cohen (1838-1927) of Philadelphia, America's first head and neck surgeon, 1 mentioned the necessity of removing the lymphatics of the neck during total laryngectomy regardless of whether there is clinical evidence of cancer in them 2 ; this was 5 years before Crile's report on neck dissection.
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From the time Crile described radical neck dissection in 1906, this surgical procedure became popular in the management of metastatic cancer in the neck. Over the past two decades, the modified neck dissection has been effectively utilized for conservation of function and cosmesis while achieving th
## Abstract ## Background. This study was designed to observe the effect of preserving the spinal accessory nerve (SAN) during neck dissection (ND) and adjuvant radiotherapy (ART) after ND on shoulder function. ## Methods. Fifty‐seven patients with head and neck cancer who had undergone primary