scholarly journals Clinicopathological Factors of Cervical Nodal Metastasis and the Concept of Selective Lateral Neck Dissection in the Surgical Management of Carcinoma Larynx and Hypopharynx and Its Outcome

2017 ◽  
Vol 9 (1) ◽  
pp. 24-27
Author(s):  
Elizabeth Mathew Iype ◽  
Santhosh Kumar N ◽  
Sreekanth S. Kumar ◽  
Bipin T. Varghese ◽  
Jaya C. Jose
Keyword(s):  
Neck Dissection ◽  
Surgical Management ◽  
Nodal Metastasis ◽  
Lateral Neck ◽  
Clinicopathological Factors ◽  
Lateral Neck Dissection ◽  
Carcinoma Larynx

S176 – Level II-B and V-A Lateral Neck Dissection in PTC

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P135-P135
Author(s):  
Tarik Y Farrag ◽  
Frank Lin ◽  
Noel Brownlee ◽  
Matthew Kim ◽  
Shiela Sheth ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Nodal Metastasis ◽  
Nodal Metastases ◽  
Lateral Neck ◽  
Cervical Metastasis ◽  
Time Level ◽  
Lateral Neck Dissection ◽  
Bilateral Neck Dissection ◽  
Level Ii

Objectives 1) Patterns of cervical metastasis in PTC. 2) Importance of elective dissection of levels II-B & V-A. Methods Charts were reviewed of 53 consecutive patients (February 2002-December 2007) with PTC who underwent lateral neck dissection that included at least levels II (A and B), and V (A and B). Results 53 patients underwent lateral neck dissection for FNA-confirmed nodal metastasis of PTC. 46 patients underwent unilateral neck dissection, while 7 had bilateral neck dissection, resulting in a total of 60 neck dissection specimens which were evaluated. Level II (A and B) was excised in 59/60 neck dissections, with 33 out of 59 specimens (33/59–%60) positive for metastasis. Level II-B was positive 5 times (5/59, 8.5%–95% CI: 2.4, 20.4); and each time level II-B was positive, level II-A was also positive for metastasis. Level III was excised 58 times and was positive in 38 specimens (38/58–66%). Level IV was excised 58 times and was positive in 29 specimens (29/58–50%). Level V (A and B) was excised 40 times and was positive in 16 specimens (16-40-40%). Level V-A did not account for any of the positive level V results. Conclusions Patients with PTC undergoing lateral neck dissection for FNA-confirmed nodal metastases might harbor disease in level II-B, especially if level II-A is involved. Elective dissection of level V-B should also be considered in this scenario, while routine level V-A dissection is not necessary.

Outcome of Thyroid Surgeries at Patan Hospital

2018 ◽  
Vol 6 (1) ◽  
pp. 11-14
Author(s):  
Deepak Yadav ◽  
Bhawana Dangol ◽  
Anita GC ◽  
Namita Shrestha ◽  
Ishwor Raj Devkota ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Total Thyroidectomy ◽  
Neck Dissection ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Central Compartment ◽  
Neck Surgery ◽  
Laryngeal Nerve ◽  
Completion Thyroidectomy ◽  
Lateral Neck ◽  
Lateral Neck Dissection

Objective: To assess the outcome of thyroid surgeries at Patan HospitalMaterials and Methods: It is a retrospective study of in-patient records of patients undergoing thyroid surgeries for various indications from April 2013 to January 2015 at Patan Hospital, Lalitpur.Results: During the period of 21 months, 75 patients underwent thyroid surgeries. Majority of patients underwent hemithyroidectomy (35) followed by total thyroidectomy (28), subtotal thyroidectomy (7) and completion thyroidectomy (5). Out of 28 patients undergoing total thyroidectomy (TT), 11 underwent central compartment clearance (CCC), 5 underwent CCC and lateral neck dissection. Among 5 patients undergoing completion thyroidectomy, CCC was performed in all cases and in one patient lateral neck dissection was also performed.  A total of 13 patients developed unilateral recurrent laryngeal nerve palsy (RLN), among them 5 had permanent palsy. Tracheostomy had to be done in immediate postoperative period for stridor following total thyroidectomy (TT) in one case. Temporary hypocalcaemia was observed in 10 (10/28) cases following TT, out of which 8 had undergone CCC. Permanent hypocalcaemia was observed in 7 (7/28) cases following TT out of which 3 had undergone CCC. Chylous leak occurred in one of the patient undergoing left level II-IV neck dissection which was managed conservatively. None of the patient had to be transfused postoperatively.Conclusion: Complications to thyroid surgery are not uncommon. Visualization of recurrent laryngeal nerve alone in our context is adequate in experienced hands. Identification of parathyroid during thyroidectomy is recommended to avoid hypocalcaemia. Meticulous dissection can reduce the complications.Nepalese Journal of ENT Head and Neck Surgery, Vol. 6, No. 1, 2015

Prophylactic Lymph Node Dissection in Papillary Thyroid Carcinoma: Is There a Place for Lateral Neck Dissection?

2013 ◽  
Vol 37 (7) ◽  
pp. 1584-1591 ◽  
Author(s):  
Romain Ducoudray ◽  
Christophe Trésallet ◽  
Gaelle Godiris-Petit ◽  
Frédérique Tissier ◽  
Laurence Leenhardt ◽  
...  
Keyword(s):  
Lymph Node ◽  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Neck Dissection ◽  
Lymph Node Dissection ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
Node Dissection ◽  
Lateral Neck Dissection ◽  
Prophylactic Lymph Node Dissection

scholarly journals Low transverse incision for lateral neck dissection in patients with papillary thyroid cancer: improved cosmesis

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Chang Myeon Song ◽  
Yong Bae Ji ◽  
In Sik Kim ◽  
Ji Young Lee ◽  
Dong Sun Kim ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Neck Dissection ◽  
Papillary Thyroid Cancer ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
Transverse Incision ◽  
Lateral Neck Dissection

Risk factors for local recurrence following lateral neck dissection for papillary thyroid carcinoma

Endocrine ◽  
2018 ◽  
Vol 63 (2) ◽  
pp. 310-315 ◽  
Author(s):  
Marco Raffaelli ◽  
Carmela De Crea ◽  
Luca Sessa ◽  
Serena Elisa Tempera ◽  
Amanda Belluzzi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Papillary Thyroid Carcinoma ◽  
Local Recurrence ◽  
Thyroid Carcinoma ◽  
Neck Dissection ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
Lateral Neck Dissection

scholarly journals Comparison of Output Volume Thresholds for Drain Removal After Selective Lateral Neck Dissection

2017 ◽  
Vol 143 (12) ◽  
pp. 1195 ◽  
Author(s):  
Matthew L. Tamplen ◽  
Jesse Tamplen ◽  
Elizabeth Shuman ◽  
Chase M. Heaton ◽  
Jonathan R. George ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Lateral Neck ◽  
Lateral Neck Dissection ◽  
Drain Removal ◽  
Output Volume
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