Fig. 1—The level system is used for describing the location of lymph nodes in the neck: Level I, submental and submandibular group; Level II, upper jugular group; Level III, middle jugular group; Level IV, lower jugular group; Level V, posterior trian-gle group; Level VI, anterior compartment.. Further advancements have demonstrated that depending on the situation, not all levels must be explored, thus, developing the concept of the "selective neck dissection."
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The lymph node levels of the neck (Robbins) is the most often employed and was published in 1991 by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery.. Nodal subgroups can be further classified into the lateral (Levels II-V) or central (Levels VI ± VII) neck which correlates with the current prevailing philosophy of a "compartment-oriented dissection" in surgical management of nodal disease.
