Abstract
With the exception of distant metastases, the presence of lymph node metastasis in the neck is accepted as the single most important adverse independent prognostic factor and an indicator of survival in squamous carcinoma of the head and neck. Neck dissection in its various forms is the standard surgical treatment for clinical, subclinical and subpathologic metastatic cancer to the neck. The pertinent literature from the beginning of the nineteenth century to the middle of the twentieth century was reviewed. The four giants of late nineteenth century surgery: von Langenbeck, Billroth, von Volkmann and Kocher developed and reported the early cases of different types of neck dissection. Butlin, in England, conceived and developed the concept of elective neck dissection. In 1888, the Polish surgeon Jawdyńsky reported and described in detail the first successful extended en bloc neck dissection. Crile, in 1905 and 1906, reported the first significant series of radical en bloc neck dissections, bringing this procedure to the attention of the medical world as an effective operation with reproducible technique and results. The greatest impetus to the status of this surgical procedure came from Martin and colleagues, who published a monumental report in 1951 of 1,450 cases that established the place and technique of radical neck dissection in the modern treatment of head and neck cancer. Neck dissection, for treatment of cervical lymph node metastases in head and neck cancer, was conceived and attempted in the nineteenth century, with some limited success reported by the end of that era. An effective operation was described and reported in the early twentieth century and evolved by the mid century into a fundamental tool in the management of patients with head and neck cancer.
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References
von Chelius JM, Quoted by Patel and Shah [21]
Bieñ S (2006) Historia operacji radykalnej węzłów chłonnych szyi—w 100-lecie publikacji George’a Crile’a. Otolaryngol Pol 60:5–8
Kerth JD, Sisson GA, Becker GD (1973) Radical neck dissection in carcinoma of the head and neck. Surg Clin North Am 53:179–190
Regnault C (1887) Die malignen Tumoren der Gefässscheide. Arch Klin Chir 35:50–74
Warren JC (1837) Surgical observations on tumours, with cases and operations. Crocker and Brewster, Boston, pp 163–187
Ferlito A, Johnson JT, Rinaldo A, Pratt LW, Fagan JJ, Weir N, Suárez C, Folz BJ, Bień S, Towpik E, Leemans CR, Bradley PJ, Kowalski LP, Herranz J, Gavilán J, Olofsson J (2007) European surgeons were the first to perform neck dissection. Laryngoscope 117:797–802
Folz BJ, Ferlito A, Silver CE, Olofsson J, Bradley PJ, Bień S, Towpik E, Weir N, Rinaldo A (2007) Neck dissection in the nineteenth century. Eur Arch Otorhinolaryngol 264:455–460
Butlin HT (1885) Diseases of the tongue. Cassell, London
Uttley AR, McGurk M (2000) Sir Henry Trentham Butlin: the father of British head and neck surgery. Br J Oral Maxillofac Surg 38:114–120
Jawdyński F (1888). Przypadek raka pierwotnego szyi. t.z. raka skrzelowego Volkmann’a. Wycięcie nowotworu wraz z rezekcyją tętnicy szyjowej wspólnej i żyły szyjowej wewnętrznej. Wyzdrowienie. Gaz Lek 8:530–537, 554–560, 582–587
Kierzek A (2003) Otolaryngologia warszawska w końcu XIX i na początku XX wieku. Otolaryngol Pol 57:761–764
Towpik E (1990) Centennial of the first description of the en bloc neck dissection. Plast Reconstr Surg 85:468–470
Crile GW (1905) On the surgical treatment of cancer of the head and neck. With a summary of one hundred and twenty-one operations performed upon one hundred and five patients. Trans South Surg Gynecol Assoc 18:108–127
Crile G (1906) Excision of cancer of the head and neck. With special reference to the plan of dissection based on one hundred and thirty-two operations. JAMA 47:1780–1786
Silver CE, Rinaldo A, Ferlito A (2007) Crile’s neck dissection. Laryngoscope 117:1974–1977
Ferlito A, Rinaldo A (2005) Errare humanum est, in errore perseverare stultum: this is true also for neck dissection. Oral Oncol 41:132–134 Editorial
Ferlito A, Robbins KT, Rinaldo A (2004) Neck dissection: historical perspective. J Laryngol Otol 118:403–405 Editorial
Ferlito A, Rinaldo A (2005) Neck dissection: historical and current concepts. Am J Otolaryngol 26:289–295 Editorial
Ferlito A, Rinaldo A, Robbins KT, Silver CE (2006) Neck dissection: past, present, and future? J Laryngol Otol 120:87–92
Ferlito A, Rinaldo A, Silver CE, Shah JP, Suárez C, Medina JE, Kowalski LP, Johnson JT, Strome M, Rodrigo JP, Werner JA, Takes RP, Towpik E, Robbins KT, Leemans CR, Herranz J, Gavilan J, Shaha AR, Wei WI (2006) Neck dissection: then and now. Auris Nasus Larynx 33:365–374
Patel KN, Shah JP (2005) Neck dissection: past, present, future. Surg Oncol Clin N Am 14:461–477
Carlson ER, Cheung A, Smith B, Pfohl C (2006) Neck dissections for oral/head and neck cancer: 1906–2006. J Oral Maxillofac Surg 64:4–11
Crile G (1987) Landmark article Dec 1, 1906: excision of cancer of the head and neck. With special reference to the plan of dissection based on one hundred and thirty-two operations. By George Crile. JAMA 258:3286–3293
Sylvestre-Benis C (1944) Consideraciones sobre el problema del tratamiento quirurgico de los ganglios en los canceres de la laringe. In: Actas II Congr Sudamericano ORL, Montevideo, Uruguay, vol 3, pp 197–208
Martin HE, Del Valle B, Ehrlich H, Cahan WG (1951) Neck dissection. Cancer 4:441–499
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Rinaldo, A., Ferlito, A. & Silver, C.E. Early history of neck dissection. Eur Arch Otorhinolaryngol 265, 1535–1538 (2008). https://doi.org/10.1007/s00405-008-0706-9
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DOI: https://doi.org/10.1007/s00405-008-0706-9