Indications for Neck Dissection with T3/T4 Glottic Cancers

• Clinically N0 neck
  • Ipsilateral elective neck dissection Levels II– IV
  • Convert to MND if suspicious nodes in neck (+/- frozen section)
  • Contralateral elective neck dissection Levels II– IV for tumour crossing midline or significant supraglottic extension
  • Level VI (pre- and paratracheal nodes) with subglottic extension or extension to piriform fossa…also requires thyroid lobectomy
• Clinically N+ neck: Modified radical neck dissection (MND) / Selective Levels II-IV / Radical neck dissection (RND)

Index: Clinical Practice Guidelines for Glottic Cancer

Resource Appropriate Glottic Cancer Guideline Scenarios