Efficacy of selective neck dissection for nodal metastasis with involvement of nonlymphatic structures

Head & Neck ◽  
2010 ◽  
Vol 33 (8) ◽  
pp. 1099-1105 ◽  
Author(s):  
Muthuswamy Dhiwakar ◽  
K. Thomas Robbins ◽  
Krishna Rao ◽  
Francisco Vieira ◽  
James Malone
Keyword(s):  
Neck Dissection ◽  
Nodal Metastasis ◽  
Selective Neck Dissection

scholarly journals Transection of Sternocleidomastoid for Selective Neck Dissection in Recurrent Papillary Thyroid Cancers

2017 ◽  
Vol 9 (1) ◽  
pp. 32-34
Author(s):  
Aromal Chekavar ◽  
Sapana Bothra ◽  
Mohammed Rashid ◽  
Ashok Kumar Vema
Keyword(s):  
Neck Dissection ◽  
Nodal Metastasis ◽  
Selective Neck Dissection ◽  
Papillary Thyroid ◽  
Reoperative Surgery ◽  
Thyroid Cancers ◽  
Posterior Triangle ◽  
Positron Emission ◽  
Vein Injury ◽  
Good Exposure

ABSTRACT The surgical treatment of papillary thyroid carcinoma is the most frequent procedure in endocrine oncologic practice for endocrine surgeons. With the advent of positron emission tomography scan, many of these patients who had previous surgery in the form of total thyroidectomy with neck dissection present with recurrent nodal metastasis which is the cause of thyroglobulin increase. Reoperative surgery is fraught with increased incidence of complications mainly the internal jugular vein injury and nerve injuries. In this scenario, good exposure helps in avoiding these injuries, and also helps the surgeon. We describe the exposure of the posterior triangle by the division of sternocleidomastoid superiorly off the mastoid tip and retracting the muscle downward and suturing it back at the end of the procedure. How to cite this article Mayilvaganan S, Bothra S, Rashid M, Chekavar A, Vema AK, Agarwal A. Transection of Sternocleidomastoid for Selective Neck Dissection in Recurrent Papillary Thyroid Cancers. World J Endoc Surg 2017;9(1):32-34.

scholarly journals Long-Term Outcomes of Breast Cancer Patients Who Underwent Selective Neck Dissection for Metachronous Isolated Supraclavicular Nodal Metastasis

Cancers ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 164
Author(s):  
Shin-Cheh Chen ◽  
Shih-Che Shen ◽  
Chi-Chang Yu ◽  
Ting-Shuo Huang ◽  
Yung-Feng Lo ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Distant Metastasis ◽  
Primary Tumor ◽  
Medical Center ◽  
Significant Risk ◽  
Nodal Metastasis ◽  
Time Interval ◽  
Selective Neck Dissection ◽  
Tumor Surgery ◽  
Breast Cancer Patients

We retrospectively enrolled 139 patients who developed metachronous isolated supraclavicular lymph node metastasis (miSLNM) from 8129 consecutive patients who underwent primary surgery between 1990 and 2008 at a single medical center. The median age was 47 years. The median follow-up time from date of primary tumor surgery was 73.1 months, and the median time to the date of neck relapse was 43.9 months in this study. Sixty-one (43.9%) patients underwent selective neck dissection (SND). The 5-year distant metastasis-free survival (DMFS), post-recurrence survival, and overall survival (OS) rates in the SND group were 31.1%, 40.3%, and 68.9%, respectively, whereas those of the no-SND group were 9.7%, 32.9%, and 57.7%, respectively (p = 0.001). No SND and time interval from primary tumor surgery to neck relapse ≤24 months were the only significant risk factors in the multivariate analysis of DMFS (hazard ratio (HR), 1.77; 95% confidence interval (CI), 1.23–2.56; p = 0.002 and HR, 1.76, 95% CI, 1.23–2.52; p = 0.002, respectively) and OS (HR, 1.77; 95% CI, 1.22–2.55; p = 0.003 and HR, 3.54, 95% CI, 2.44–5.16; p < 0.0001, respectively). Multimodal therapy, including neck dissection, significantly improved the DMFS and OS of miSLNM. Survival improvement after miSLNM control by intensive surgical treatment suggests that miSLNM is not distant metastasis. 

scholarly journals Role of Selective Neck Dissection in Primary T1, T2, N0 Neck Oral Tongue Carcinoma

2021 ◽  
Vol 27 (2) ◽  
pp. 130-138
Author(s):  
Mohammad Nazrul Islam ◽  
Kazi Shameemus Salam ◽  
Belayat Hossain Siddique ◽  
Md Lutfor Rahman ◽  
Rashedul Islam ◽  
...  
Keyword(s):  
Lymph Node ◽  
Neck Dissection ◽  
Cervical Lymph Node ◽  
Nodal Metastasis ◽  
Selective Neck Dissection ◽  
Occult Metastasis ◽  
Tongue Carcinoma ◽  
Oral Tongue ◽  
N0 Neck ◽  
Number Of Patients

Background: Oral tongue is one of the common site for carcinoma. 22% to 39% of oral cancer develops at this site. The high incidence of cervical lymph node metastasis, occult cervical metastasis, Provide a logical basis for treatment of the neck. The aim of this is study was to find out the importance of selective neck dissection in primary T1, T2, N0 Neck Oral Tongue Carcinoma. Methods: This cross-sectional study was conducted in the Department of Otolaryngology- Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Medical College Hospital and National Institute of ENT, Dhaka. Thirty cases of primary T1, T2, N0 Neck Oral Tongue Carcinoma with inclusion criteria was enrolled as a study sample. Patients were evaluated by a complete clinical head and neck examination as well as Imaging (MRI) of the primary tumor and neck. All the data were compiled and sorted properly and the numerical data were analyzed statistically. The results were expressed as percentage and mean ± SD. Chi-square (x2) test or Fisher’s Exact test was done for comparison of data presented in categorical value and p value <0.05 was considered as the level of significance. Among the patients 23(76.7%) were T1 lesion and remaining 7(23.33%) were T2 lesion. Extended Supraomohyoid Selective Neck Dissection (SOSD) (I-IV) was done in all patients. Following histopathological examination, 8(26.67%) patients of N0 neck became positive for nodal metastasis. Results: The study showed that most commonly (50%) involved group of occult metastasis was upper deep cervical lymph node in submandibular area (level-I). Occult nodal metastasis was significantly common 87.5% among male patients than females (p=0.039) and also common 87.5% among <50 years age group (p=0.023). Neck node positive was significantly more 62.5% in T2 lesion (p=0.002) of oral tongue carcinoma. Conclusion: In this study, we found that a number of patients had been histopathologicallly detected micro-metastases in regional neck nodes in clinically N0 patients.So, Extended Supraomohyoid Selective neck dissection (I-IV) was appropriate in T1,T2, N0 Neck Oral Tongue Carcinoma. Bangladesh J Otorhinolaryngol 2021; 27(2): 130-138

Adenoid cystic carcinoma of the tongue

2000 ◽  
Vol 114 (6) ◽  
pp. 477-480 ◽  
Author(s):  
Emre Üstündaĝ ◽  
Mete Iseri ◽  
O¨mer Aydin ◽  
Hülya Dal ◽  
Ahmet Almaç ◽  
...  
Keyword(s):  
Adenoid Cystic Carcinoma ◽  
Salivary Glands ◽  
Neck Dissection ◽  
Pleomorphic Adenoma ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Wide Resection ◽  
Selective Neck Dissection ◽  
Fine Needle ◽  
Adenoid Cystic

Malignant tumours of the salivary glands in children are extremely rare. We present here a 12-year-old girl initially diagnosed as pleomorphic adenoma on fine needle aspiration biopsy, and adenoid cystic carcinoma (ACC) after the lesion was excised and examined by histopathology. A wide resection of the lesion and bilateral supraomyohyoid neck dissection was performed. To our knowledge this is one of the youngest patients with ACC of the minor salivary glands. Due to its benign histological appearance, the biological agressiveness of ACC is usually underestimated. Although fine needle aspiration cytology (FNAC) is very valuable in diagnosis, cytological variations of pleomorphic adenoma must be considered. ACC of the tongue in a young age group should be treated with wide resection and selective neck dissection if the tumour is localized in places where the risk of metastasis is increased and if there is a clinically palpable lymph node. In such cases the clinician should not avoid radical operations even in a young patient.

scholarly journals The importance of flaps in reconstruction of locoregionally advanced lateral skull-base cancer defects: a tertiary otorhinolaryngology referral centre experience

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Domen Vozel ◽  
Peter Pukl ◽  
Ales Groselj ◽  
Aleksandar Anicin ◽  
Primoz Strojan ◽  
...  
Keyword(s):  
Skull Base ◽  
Neck Dissection ◽  
Temporal Bone ◽  
Free Flap ◽  
Radical Neck Dissection ◽  
Selective Neck Dissection ◽  
Flap Reconstruction ◽  
Referral Centre ◽  
Regional Flap ◽  
Lateral Skull Base

Abstract Background The aim of the study was to identify the value of extensive resection and reconstruction with flaps in the treatment of locoregionally advanced lateral skull-base cancer. Patients and methods The retrospective case review of patients with lateral skull-base cancer treated surgically with curative intent between 2011 and 2019 at a tertiary otorhinolaryngology referral centre was made. Results Twelve patients with locoregionally advanced cancer were analysed. Lateral temporal bone resection was performed in nine (75.0%), partial parotidectomy in six (50.0%), total parotidectomy in one (8.3%), ipsilateral selective neck dissection in eight (66.7%) and ipsilateral modified radical neck dissection in one patient (8.3%). The defect was reconstructed with anterolateral thigh free flap, radial forearm free flap or pectoralis major myocutaneous flap in two patients (17.0%) each. Mean overall survival was 3.1 years (SD = 2.5) and cancer-free survival rate 100%. At the data collection cut-off, 83% of analysed patients and 100% of patients with flap reconstruction were alive. Conclusions Favourable local control in lateral skull-base cancer, which mainly involves temporal bone is achieved with an extensive locoregional resection followed by free or regional flap reconstruction. Universal cancer registry should be considered in centres treating this rare disease to alleviate analysis and multicentric research.

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