Management of the N0 Neck: Agree to Disagree? - On Demand Access

Very few topics generate as much perpetual debate on how to interrogate and surgically manage the N0 neck in the field of head and neck oncology. Over a century of clinical experience, retrospective studies and a small number of clinical trials have helped elucidate general principles for management. Yet many questions remain to be answered, particularly as OMSs attempt to move toward narrowing the gap between under treatment and over treatment. During this 60-minute webinar, participants will review the current evidence regarding surgical management, where knowledge gaps remain and the latest research efforts to fill those gaps. Preoperative imaging and tests to elucidate the clinical status of the lymph nodes will be discussed in addition the roles for observation, sentinel lymph node biopsy and elective neck dissection for the cN0 neck – all based on the latest evidence.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Discuss evidence for elective neck dissection and gaps in evidence.  
  2. Describe sentinel node biopsy and gaps in evidence.  
  3. Explain challenges with preoperative risk stratification for occult metastasis. 
  4. Analyze ongoing research in sentinel node biopsy. 
  5. Examine ongoing research on risk stratification for occult metastasis.

An Internet-based CDE/CME Activity
Original Release Date: August 10, 2022
Expiration Date: August 10, 2025
Estimated time to complete this educational activity: 1.0 hours
Method of participation: Self-Study

Allen Cheng DDS, MD, FACS

Dr. Allen Cheng earned his medical, dental degrees and residency training at the University of California, San Francisco. He finished fellowships in Head and Neck Oncology and Microvascular Reconstructive Surgery. He’s a Diplomate of the ABOMS with a Certificate of Added Qualification in Oral, Head and Neck Surgery and Reconstructive Surgery. His research is in Oral, Head and Neck Oncology and Reconstructive Surgery, allowing him to speak internationally on the topic. He’s the Section Chair of Oral and Maxillofacial Surgery at Legacy Emanuel Hospital and the Medical Director of Oral/Head and Neck Cancer at Legacy Good Samaritan Cancer Center in Portland, Ore. He, along with his partners, is dedicated to training the next generation of oral and maxillofacial surgeons.

Disclosures: No Relevant Conflict of Interest Disclosures were reported.

Ashish Patel DDS, MD, FACS

Dr. Ashish Patel is a board-certified oral and maxillofacial surgeon practicing in Portland, Ore. He earned his dental and medical degrees from New York University and is fellowship-trained in head and neck surgical oncology and microvascular reconstructive surgery. He specializes in the full scope of OMS including the treatment of head and neck cancer, facial reconstruction, robotic surgery, sleep apnea surgery and complex implant dentistry. He is the Fellowship Director for Head and Neck Surgery and Microsurgery at Providence Cancer Institute and serves as the Chief of Maxillofacial Trauma at Legacy Emanuel Medical Center. He is active in resident and fellow education as an Assistant Professor of OMS at OHSU School of Dentistry. He has published over 50 scientific articles and abstracts with a research interest in improving functional outcomes for oral cancer patients. Dr. Patel lives in Portland with his wife and children and enjoys listening to music, smoking meat, playing guitar, and exploring the great outdoors.

Disclosures: No Relevant Conflict of Interest Disclosures were reported.

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.0 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
5/1/18 – 12/31/22
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
3 Questions  |  1 attempt  |  0/3 points to pass
3 Questions  |  1 attempt  |  0/3 points to pass
Management of the N0 Neck: Agree to Disagree?
Open to view video.
Open to view video.
Post-Quiz
3 Questions  |  Unlimited attempts  |  2/3 points to pass
3 Questions  |  Unlimited attempts  |  2/3 points to pass
Evaluation
11 Questions
Certificate
1.00 CDE/CME credit  |  Certificate available
1.00 CDE/CME credit  |  Certificate available