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In den letzten Jahren konnte der f\u00fcr ein optimales onkologisches Ergebnis erforderliche Umfang einer Neck-Dissection zunehmend reduziert werden und teilweise auch durch alternative Verfahren wie die W\u00e4chterlymphknotenbiopsie ersetzt werden. Dies ist jedoch nur durch ein pr\u00e4zises Staging m\u00f6glich. Hierzu werden eine verbesserte Bildgebung, molekulare Marker sowie der Einsatz von k\u00fcnstlicher Intelligenz angewendet. Insbesondere vor dem Hintergrund der Immuntherapie, die nun auch in der Neoadjuvanz zugelassen wurde, ist der Erhalt funktioneller lymphatischer Strukturen relevant, da sich dies positiv auf das Therapieansprechen auswirkt. Letztendlich ist die histologische Aufarbeitung der Halslymphknoten nach wie vor der Goldstandard, um die Prognose abzusch\u00e4tzen und die adjuvante Therapie zu planen.<\/jats:p>","DOI":"10.1007\/s00106-025-01696-z","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T10:44:04Z","timestamp":1766054644000},"page":"445-461","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Neck-Dissection\u00a0\u2013 mehr, weniger, gezielter?","Neck dissection\u2014more, less, targeted?"],"prefix":"10.1007","volume":"74","author":[{"given":"Johannes","family":"Doescher","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Zenk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"1696_CR1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1297243","author":"A Teymoortash","year":"2012","unstructured":"Teymoortash\u00a0A, Werner\u00a0JA (2012) Aktuelle Fortschritte in der Diagnostik und chirurgischen Therapie der Halslymphknotenmetastasen bei Kopf-Hals-Karzinomen. 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