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J Neurol Surg B Skull Base 2016; 77(02): 140-149
DOI: 10.1055/s-0036-1579751
DOI: 10.1055/s-0036-1579751
Original Article
Surgical Management of Perineural Spread of Head and Neck Cancers
Further Information
Publication History
Publication Date:
18 March 2016 (online)
Abstract
The surgical management of perineural spread of head and neck cancers has become an integral part in the contemporary treatment of this pathology. We now understand that tumour spreads within the epineurium and in a continuous fashion. We also can rely on the accuracy of magnetic resonance neurography in detecting and defining the extent of disease. With modern skull base techniques and a greater understanding of the anatomy in this region, specific operations can be designed to help eradicate disease. We review the current approaches and techniques used that enable us to better obtain tumour free margins and hence improve survival.
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