The use of Tisseel™fibrin sealant in selective neck dissection - a retrospective study in a tertiary Head and Neck Surgery centre

Head and neck cancer is the sixth most common cancer worldwide. The single most important factor affecting prognosis for squamous cell carcinoma is the status of the cervical lymph nodes. Metastasis to the regional lymph nodes reduces the 5-year survival rate by 50% compared with that of patients with early-stage disease. The American cancer society reports that 40% of patients with squamous carcinoma of the oral cavity and pharynx present with regional metastases to the cervical lymph nodes. This activity presents the steps for safe and optimum neck dissection. Objectives of the study were to identify the anatomical structures in neck dissection, review the complications of head and neck surgery and summarize the importance of care coordination and to improve outcomes for patients undergoing head and neck surgery.

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Mucosal malignant melanomas in head and neck surgery: a retrospective study of six patients and review of the literature

Oral and Maxillofacial Surgery ◽

10.1007/s10006-010-0207-z ◽

2010 ◽

Vol 14 (3) ◽

pp. 143-147 ◽

Cited By ~ 8

Author(s):

Astrid L. D. Kruse ◽

Marc O. Riener ◽

Klaus W. Graetz ◽

Heinz-Theo Luebbers

Keyword(s):

Retrospective Study ◽

Head And Neck ◽

Neck Surgery ◽

Head And Neck Surgery ◽

Review Of The Literature ◽

Malignant Melanomas

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Incidence of Lymphatic Metastasis to Neck Nodes Level IIb in Neck Dissection for Head and Neck Cancers: A Retrospective Study

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1192 ◽

2014 ◽

Vol 5 (3) ◽

pp. 99-103

Author(s):

Faisal Al Zahrani ◽

Khalid Al-Qahtani ◽

Mohammed Alshahrani ◽

Khamis Almufargi ◽

Abdullah Alkhudhayri ◽

...

Keyword(s):

Retrospective Study ◽

Lymph Nodes ◽

Head And Neck ◽

Neck Dissection ◽

Lymphatic Metastasis ◽

Head And Neck Cancers ◽

Surgical Removal ◽

Selective Neck Dissection ◽

Fisher Exact Test ◽

Lymph Nodes Metastasis

ABSTRACT Introduction Selective neck dissection (SND) is performed to prevent head and neck cancers metastasis. We tried to determine the incidence of level IIb lymph nodes metastasis and it is associations in head and neck cancers for selection of patients requiring SND. Materials and methods A retrospective study was conducted on 57 patients who underwent surgical removal of the head and neck tumor by 84 neck dissections. Fisher exact test was used to measure the association between positive IIb nodes and the other variables. Results Nine (15.8%) of 57 patients showed level IIb lymph nodes metastasis comprising 10.71% of the 84 neck dissections. Six (66.66%) were associated with oral cavity cancers, 8 (88.9%) with squamous cell carcinoma (SCC), 6 (66.66%) with T4 tumor. Five (55.6%) were N2b, and 7 (77.8%) were found in N+ necks. All (100%) positive IIb nodes were associated with metastatic level IIa. Significant associations were found betweenpositive IIbnodesand N2b (p= 0.005), clinically N+ necks (p = 0.005) and IIa (p < 0.01). Conclusion The incidence of level IIb nodes metastasis is high so they should be removed in any oral tumor, SCC, advanced staging, N+ necks or positive IIa lymph nodes metastasis. How to cite this article Al zahrani F, Al-Qahtani K, Alshahrani m, Almufargi K, Alkhudhayri A, Obad l, Islam T. Incidence of lymphatic metastasis to Neck Nodes level IIb in Neck Dissection for Head and Neck Cancers: A Retrospective Study. Int J Head Neck Surg 2014;5(3):99-103.

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