Planned Neck Dissection Following Radiation Treatment for Head and Neck Malignancy

Introduction. Optimal therapy for patients with metastatic neck disease remains controversial. Neck dissection following radiotherapy has traditionally been used to improve locoregional control.Methods. A retrospective review of 28 patients with node-positive head and neck malignancy treated with planned neck dissection following radiotherapy between January 2002 and December 2005 was performed to assess treatment outcomes.Results. Median interval to neck dissection was 9.6 weeks with a median number of 21 + 9 lymph nodes per specimen. Ten of 31 (32%) neck dissection specimens demonstrated evidence of residual carcinoma. Overall survival at two years was 85%; five-year overall survival was 65%. Concurrent chemotherapy did not impact the presence of residual neck disease.Conclusion. Based on the frequency of residual malignancy in the neck of patients treated with primary radiotherapy, a planned, postradiotherapy neck dissection should be strongly advocated for all patients with advanced-stage neck disease.

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Robot-assisted Neck Dissection in Head and Neck Malignancy: a Study Conducted at a Tertiary Care Cancer Center

Annals of Robotic and Innovative Surgery ◽

10.37007/aris.2021.2.2.40 ◽

2021 ◽

Vol 2 (2) ◽

pp. 40

Author(s):

N Apoorva Reddy ◽

Joshna B M ◽

Shalini Thakur ◽

Shameekcha Mishra ◽

Anand Subash ◽

...

Keyword(s):

Head And Neck ◽

Neck Dissection ◽

Tertiary Care ◽

Cancer Center ◽

Robot Assisted ◽

Head And Neck Malignancy ◽

Neck Malignancy

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Comparison of two different radiation fractionation schedules with concurrent chemotherapy in head and neck malignancy

Indian Journal of Cancer ◽

10.4103/0019-509x.197740 ◽

2016 ◽

Vol 53 (2) ◽

pp. 265 ◽

Cited By ~ 2

Author(s):

MS Alam ◽

R Perween ◽

SA Siddiqui

Keyword(s):

Head And Neck ◽

Concurrent Chemotherapy ◽

Head And Neck Malignancy ◽

Neck Malignancy ◽

Fractionation Schedules

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Planned neck dissection for advanced primary head and neck malignancy treated with organ preservation therapy: Disease control and survival outcomes

Head & Neck ◽

10.1002/1097-0347(200102)23:2<73::aid-hed1001>3.0.co;2-6 ◽

2001 ◽

Vol 23 (2) ◽

pp. 73-79 ◽

Cited By ~ 18

Author(s):

Kenneth A. Newkirk ◽

Kevin J. Cullen ◽

K. WIlliam Harter ◽

Catherine A. Picken ◽

Roy B. Sessions ◽

...

Keyword(s):

Disease Control ◽

Head And Neck ◽

Neck Dissection ◽

Organ Preservation ◽

Survival Outcomes ◽

Head And Neck Malignancy ◽

Neck Malignancy

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Neutrophilic Dermatosis of Hands as Oncological Finding: Importance of Follow-Up

ORL ◽

10.1159/000513630 ◽

2021 ◽

pp. 1-3

Author(s):

Jérôme R. Lechien ◽

Daphné Delplace ◽

Mohamad Khalife ◽

Sven Saussez

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Paraneoplastic Syndrome ◽

Tobacco Consumption ◽

Neutrophilic Dermatosis ◽

Pharyngeal Cancer ◽

Head And Neck Malignancy ◽

Neck Malignancy

Neutrophilic febrile dermatosis (NFD) is a rare paraneoplastic syndrome that may be found in patients with head and neck cancer. NFD may appear before the neoplasia and may only concern the dorsal faces of the hands. This article reports the NFD findings of a patient with pharyngeal cancer, which was developed 2 years after the occurrence of NFD. The development of NFD in patient with alcohol and tobacco consumption should lead otolaryngologists and dermatologists to suspect head and neck malignancy. In cases of normal otolaryngological examination, patients have to be followed.

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Complications after Functional Neck Dissection in Head and Neck Cancer Patients: An Observational, Retrospective, Single-Centre Study

ORL ◽

10.1159/000514459 ◽

2021 ◽

pp. 1-9

Author(s):

Carlos M. Chiesa-Estomba ◽

Maria Soriano-Reixach ◽

Izaskun Thomas-Arrizabalaga ◽

Jon A. Sistiaga-Suarez ◽

Jose A. González-García ◽

...

Keyword(s):

Head And Neck ◽

Neck Dissection ◽

Postoperative Period ◽

Surgical Complications ◽

Statistical Correlation ◽

University Hospital ◽

Common Complication ◽

Neck Malignancy ◽

Single Centre Study ◽

Functional Neck Dissection

Introduction: Functional neck dissection (FND) represents a surgical procedure usually associated with less morbidity. Methods: An observational, retrospective, analysis of patients diagnosed with any type of head and neck malignancy was designed to summarize and report the incidence of postoperative complications in patients undergoing FND including just those levels described for selective neck dissections in a tertiary university hospital between June 2016 and June 2019. Results: 131 patients met the inclusion criteria. The total number of sides studied was 200. 40.5% of the patients suffer a complication in the postoperative period, being the spinal accessory nerve (SAN) injury the most common complication (10%). We did not find any statistical correlation between the previous organ-preservation treatments and surgical complications (p = 0.207). An advanced T stage (p = 0.009) and the need of bilateral FND (p = 0.034) were significantly correlated with a higher risk of surgical complications. Conclusion: FND represents a useful technique. In this study, 40.5% of the patients suffer a complication in the postoperative period, being the SAN injury the most common complication. However, these data contribute to increasing our knowledge about surgical complications related to FND.

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