Hello, and welcome to a lecture
on the Management of the N0 Neck.
My name is Peter Brennan.
I'm a Consultant Maxillofacial surgeon,
working at the Queen Alexandra Hospital
in Portsmouth, UK.
And also, I have extensive experience
as a surgeon treating about 50 to 60
head and neck cancer patients per year,
including many neck dissections,
and as an honorary chair,
I have written about 400 papers,
many in the head and neck
this will be a simplified talk about
how to manage the N0 neck,
which is a controversial subject.
There's lots in the literature
both for neck dissection
and for observation.
I've tried to simplify the talk,
and hopefully at the end,
you'll have an understanding
of how to manage the clinically N0 neck.
I think it's worth saying that
for every single head and neck
cancer patient that we treat,
it's important to discuss the management
of every cancer patient
in the head and neck
And here, you can see a slide of us
sitting in the team meeting.
You can see a CT-scan up on the screen,
and in fact if you look
on the left neck,
you can see a very sizable lymph node
behind the left mandible there.
Every case is discussed by the team.
There's a radiologist as you can see
at the front presenting the imaging.
We have a pathologist.
There will be oncologists,
palliative care people,
speech and language therapists,
dieticians, a number of surgeons
both in ENT and oral
and maxillofacial surgery.
And so as a group,
we will discuss every single patient
and the best management for that patient
whether that be surgery, radiotherapy,
a combination of both,
or sometimes palliative care,
of course, as well.