Management of the N0 Neck: Agree to Disagree? - On Demand Access
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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:
- Discuss evidence for elective neck dissection and gaps in evidence.
- Describe sentinel node biopsy and gaps in evidence.
- Explain challenges with preoperative risk stratification for occult metastasis.
- Analyze ongoing research in sentinel node biopsy.
- Examine ongoing research on risk stratification for occult metastasis.
An Internet-based CDE/CME Activity
Original Release Date: August 10, 2022
Review Date: April 12, 2025
Expiration Date: April 12, 2028
Estimated time to complete this educational activity: 1.0 hours
Method of participation: Self-Study
Allen Cheng DDS, MD, FACS
Fellowship Director
Head and Neck Surgical Associates, Legacy Cancer Institute, Providence Cancer Institute
Dr. Cheng earned his medical and dental degrees at the University of California, San Francisco. After completing his residency in Oral and Maxillofacial Surgery, Dr. Cheng finished fellowship training in both Head and Neck Oncology and Microvascular Reconstructive Surgery. He is a Board Certified Diplomate of the American Board of Oral and Maxillofacial Surgery.
Dr. Cheng’s practice is comprised of Head and Neck Oncology, Head and Neck Reconstruction, Maxillofacial Trauma. His research interests are focused in the areas of Head and Neck Oncology and Reconstructive Surgery. Dr. Cheng currently serves as the Section Chair of Oral and Maxillofacial Surgery and Medical Director of the Legacy Good Samaritan Oral/Head and Neck Cancer Program. He is also an Assistant Professor at the OHSU School of Dentistry in the Department of Oral and Maxillofacial Surgery.
When he’s not happily helping patients, Dr. Cheng enjoys spending time with his wife and their two children. When he and his wife are not working, they are constantly looking for child-friendly activities to consume the limitless energy exhibited by their two children.
Disclosure(s): No financial relationships to disclose
Ashish A. Patel, DDS, MD, FACS
Fellowship Director, Head and Neck Oncology and Microvascular Surgery
Providence Cancer Institute
Dr. Ashish Patel earned his dental and medical degrees from New York University. Following his residency training, he completed fellowship training in Head and Neck Surgical Oncology and Microvascular Reconstructive Surgery. Dr. Patel is board certified in Oral and Maxillofacial Surgery and holds a Certificate of Added Qualification (CAQ) in Head and Neck Oncology and Reconstructive Surgery.
Dr. Patel’s practice includes surgical oncology (removal of benign and malignant tumors of the head, neck, mouth and throat), facial reconstruction, trauma surgery, sleep apnea surgery, and corrective jaw surgery. He is a fellowship trained Head and Neck Surgical Oncologist and Reconstructive Surgeon dedicated to the treatment of patients with head and neck cancers. Dr. Patel's treatment philosophy hinges on comprehensive patient care with a focus on successful cancer treatment while maintaining and restoring quality of life. To Dr. Patel, giving patients back their lives is as important as eliminating cancer. In 2016, he performed the first total jaw reconstruction on the West Coast. Dr. Patel continues to push the envelope and advance the science of surgery through precision medicine, robotic surgery, minimally invasive approaches and patient-specific solutions.
Dr. Patel is proud to be an integral part of the multidisciplinary Providence Head and Neck Cancer Program. He works closely with the clinical team and scientists to offer cutting edge therapies and new approaches to difficult problems.
As the medical director of the Fellowship in Head and Neck Surgery and Reconstructive Microsurgery, Dr. Patel has the privilege of training world-class head and neck surgeons. In addition, he holds academic appointments at Oregon Health and Science University and Washington State University School of Medicine and is active in resident and medical student education.
Dr. Patel lectures nationally and internationally and has published over 60 journal articles, textbook chapters and abstracts. His primary research interests lie in early cancer detection and minimally-invasive facial and oral reconstruction.
Dr. Patel lives in Portland with his wife and two children. He enjoys listening to music, playing guitar, staying fit, cooking, and exploring the great outdoors with his family.
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
11/1/22-12/31/26
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.
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