Indications for Neck Dissection with Supraglottic Cancers

  • Unlike glottic cancer, supraglottic cancers have a high propensity for
    • Occult cervical nodal metastases
    • Bilateral nodal metastases
  • T2-4 and clinically N0 neck
    • Bilateral elective neck dissection Levels II– IV
    • Convert to MND if suspicious nodes in neck (+/- frozen section)
    • Level VI (pre and paratracheal nodes) with subglottic extension or extension to piriform fossa…requires thyroid lobectomy
  • Clinically N+ neck
    • Modified radical neck dissection (MND) / Radical neck dissection (RND)
    • Elective neck dissection Levels II– IV of contralateral N0 neck

Index: Clinical Practice Guidelines for Supraglottic Cancer

Resource Appropriate Supraglottic Cancer Guideline Scenarios