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

ORL ◽  
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

<b><i>Introduction:</i></b> Functional neck dissection (FND) represents a surgical procedure usually associated with less morbidity. <b><i>Methods:</i></b> 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. <b><i>Results:</i></b> 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 (<i>p</i> = 0.207). An advanced T stage (<i>p</i> = 0.009) and the need of bilateral FND (<i>p</i> = 0.034) were significantly correlated with a higher risk of surgical complications. <b><i>Conclusion:</i></b> 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.

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

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

scholarly journals Dysphagia in Patients with Neck Dissections

2019 ◽  
Vol 7 (08) ◽  
Author(s):  
Zornitsa Mihaylova
Keyword(s):  
Longitudinal Study ◽  
Neck Dissection ◽  
Postoperative Period ◽  
Speech Disorders ◽  
Common Complication ◽  
Swallowing Function ◽  
Anatomical Structures ◽  
Significant Difference ◽  
Swallow Function ◽  
Cervical Area

A common complication in patients with malignancies in the maxillofacial and cervical area is the impaired swallowing, due to the progress of the neoplasm or as a result of the treatment applied. Operative methods for the management of malignancies in the maxillofacial and cervical areas may damage anatomical structures, therefore causing swallowing disorders. The purpose of the present study is to determine the degree of involvement of the swallow function depending on the volume of surgery - neck dissection. Methods: SSQ (Sydney Swallowing Questionnaire) tool was used to assess the presence of dysphagia in operated patients, as well as an impaired swallowing function. The results obtained were analyzed by SPSS Vers23.0.         Results. Prospectively longitudinal study included 68 patients (25 women and 43 men) at mean age of 61.18 years (SD - 13.66). The reliability of the SSQ tool is assessed via Cronbach's coefficient alpha α = 0.871, and the validity of the sample is calculated using the Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO coefficient) - 0.857. In the postoperative period, no significant difference in dysphagia was found in terms of the volume of surgery - neck dissection.             Conclusion. The type and the volume of neck dissection has no effect on the postoperative speech disorders and swallowing.

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

Head & Neck ◽  
2001 ◽  
Vol 23 (2) ◽  
pp. 73-79 ◽  
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

Functional Neck Dissection: Three Decades of Controversy

1992 ◽  
Vol 101 (4) ◽  
pp. 339-341 ◽  
Author(s):  
Javier Gavilán ◽  
César Gavilán ◽  
Jesús Herranz
Keyword(s):  
Head And Neck Cancer ◽  
Surgical Technique ◽  
Head And Neck ◽  
Neck Dissection ◽  
Neck Cancer ◽  
Safe Operation ◽  
Technical Details ◽  
Functional Neck Dissection ◽  
Radical Approach

Functional neck dissection (FND) is a neck-functional, tumor-radical approach for the management of the neck in patients with head and neck cancer. Based on the anatomic knowledge of the lymphatic compartments of the neck, FND is a different surgical technique rather than a modification of the classic procedure described by Crile. From an oncologic viewpoint, FND is a relatively safe operation to treat the cervical spread from head and neck cancer as long as the indications and technical details are carefully followed. In this report, based on our experience with more than 1,000 FNDs, we analyze the history and the philosophy of the operation.

scholarly journals Planned Neck Dissection Following Radiation Treatment for Head and Neck Malignancy

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
J. F. Dautremont ◽  
M. K. Brake ◽  
G. Thompson ◽  
J. Trites ◽  
R. D. Hart ◽  
...  
Keyword(s):  
Overall Survival ◽  
Head And Neck ◽  
Neck Dissection ◽  
Radiation Treatment ◽  
Median Number ◽  
Concurrent Chemotherapy ◽  
Head And Neck Malignancy ◽  
Neck Disease ◽  
Neck Malignancy ◽  
Primary Radiotherapy

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.

Organ sparing neck dissection for the treatment of head and neck cancers in children

2017 ◽  
Vol 16 (4) ◽  
pp. 56-61
Author(s):  
N.S. Grachev ◽  
◽  
I.N. Vorozhtsov ◽  
N.V. Babaskina ◽  
E.Yu. Iaremenko ◽  
...  
Keyword(s):  
Head And Neck ◽  
Neck Dissection ◽  
Head And Neck Cancers ◽  
Organ Sparing

Comparative Morbidity Profile of Elective vs Therapeutic Neck Dissection

2021 ◽  
pp. 019459982110089
Author(s):  
Quinn Dunlap ◽  
James Reed Gardner ◽  
Amanda Ederle ◽  
Deanne King ◽  
Maya Merriweather ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Surgical Complications ◽  
Chart Review ◽  
Care Center ◽  
Tertiary Care ◽  
Retrospective Chart Review ◽  
Neck Surgery ◽  
Continuous Variables ◽  
Significant Difference ◽  
History Of

Objective Neck dissection (ND) is one of the most commonly performed procedures in head and neck surgery. We sought to compare the morbidity of elective ND (END) versus therapeutic ND (TND). Study Design Retrospective chart review. Setting Academic tertiary care center. Methods Retrospective chart review of 373 NDs performed from January 2015 to December 2018. Patients with radical ND or inadequate chart documentation were excluded. Demographics, clinicopathologic data, complications, and sacrificed structures during ND were retrieved. Statistical analysis was performed with χ2 and analysis of variance for comparison of categorical and continuous variables, respectively, with statistical alpha set a 0.05. Results Patients examined consisted of 224 males (60%) with a mean age of 60 years. TND accounted for 79% (n = 296) as compared with 21% (n = 77) for END. Other than a significantly higher history of radiation (37% vs 7%, P < .001) and endocrine pathology (34% vs 2.6%, P < .001) in the TND group, no significant differences in demographics were found between the therapeutic and elective groups. A significantly higher rate of structure sacrifice and extranodal extension within the TND group was noted to hold in overall and subgroup comparisons. No significant difference in rate of surgical complications was appreciated between groups in overall or subgroup analysis. Conclusion While the significantly higher rate of structure sacrifice among the TND population represents an increased morbidity profile in these patients, no significant difference was found in the rate of surgical complications between groups. The significant difference seen between groups regarding history of radiation and endocrine pathology likely represents selection bias.

Lymph node yield in treatment naïve cases of head and neck squamous cell carcinoma: en bloc lymphadenectomy versus level-by-level dissection

2021 ◽  
pp. 1-8
Author(s):  
K Devaraja ◽  
K Pujary ◽  
B Ramaswamy ◽  
D R Nayak ◽  
N Kumar ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Lymph Node ◽  
Cell Carcinoma ◽  
Head And Neck ◽  
Neck Dissection ◽  
Squamous Cell ◽  
Neck Squamous Cell Carcinoma ◽  
En Bloc ◽  
Lymph Node Yield ◽  
Node Yield

Abstract Background Lymph node yield is an important prognostic factor in head and neck squamous cell carcinoma. Variability in neck dissection sampling techniques has not been studied as a determinant of lymph node yield. Methods This retrospective study used lymph node yield and average nodes per level to compare level-by-level and en bloc neck dissection sampling methods, in primary head and neck squamous cell carcinoma cases operated between March 2017 and February 2020. Results From 123 patients, 182 neck dissections were analysed, of which 133 were selective and the rest were comprehensive: 55 had level-by-level sampling and 127 had undergone en bloc dissection. The level-by-level method yielded more nodes in all neck dissections combined (20 vs 17; p = 0.097), but the difference was significant only for the subcohort of selective neck dissection (18.5 vs 15; p = 0.011). However, the gain in average nodes per level achieved by level-by-level sampling was significant in both groups (4.2 vs 3.33 and 4.4 vs 3, respectively; both p < 0.001). Conclusion Sampling of cervical lymph nodes level-by-level yields more nodes than the en bloc technique. Further studies could verify whether neck dissection sampling technique has any impact on survival rates.

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