Outcomes and Oncologic Considerations for Elective Neck Dissection in Patients Undergoing Salvage Laryngectomy

2014 ◽  
Vol 151 (1_suppl) ◽  
pp. P61-P61
Author(s):  
Rachel A. Giese ◽  
Emre A. Vural ◽  
Mauricio A. Moreno
Keyword(s):  
Neck Dissection ◽  
Elective Neck Dissection ◽  
Salvage Laryngectomy

Elective neck dissection for the node-negative neck during salvage laryngectomy: an analysis of survival outcomes and complication rates

2019 ◽  
Vol 133 (09) ◽  
pp. 788-791
Author(s):  
M Gouzos ◽  
O Dale ◽  
N Sethi ◽  
A Foreman ◽  
S Krishnan ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Neck Dissection ◽  
Squamous Cell ◽  
Elective Neck Dissection ◽  
Survival Outcomes ◽  
Pharyngocutaneous Fistula ◽  
Complication Rates ◽  
True Value ◽  
Salvage Laryngectomy

AbstractObjectivesThis study aimed to evaluate the effect of neck dissection on survival and complication rates in patients with no clinical or radiological evidence of cervical nodal disease (N0) undergoing salvage laryngectomy.MethodsA retrospective study was conducted of patients with squamous cell carcinoma of the larynx following primary radiotherapy that required salvage laryngectomy. Disease-free and overall survival rates were compared over three years using Kaplan–Meier analysis. Pharyngocutaneous fistula rate, hospitalisation length and the requirement for further surgical intervention were also compared across cohorts.ResultsTwenty-three cases met the inclusion criteria (17 neck dissections, 6 undissected). No significant differences in survival outcomes were identified. One patient who underwent neck dissection for advanced, recurrent transglottic squamous cell carcinoma showed evidence of occult lymph node metastases. Fistula rates did not differ significantly between dissected and non-dissected groups; however, two patients required surgical repair of post-operative pharyngocutaneous fistula following neck dissection.ConclusionIn this study, elective neck dissection did not appear to alter survival outcomes or complication rates during salvage laryngectomy. Given the small but significant risk of occult neck metastases, its true value remains unclear.

In Response to Letter to the Editor Regarding: Elective Neck Dissection During Salvage Laryngectomy: A Systematic Review and Meta‐Analysis

2020 ◽  
Vol 131 (1) ◽  
Author(s):  
Jennifer H. Gross ◽  
Peter M. Vila ◽  
Joseph Zenga ◽  
Patrik Pipkorn
Keyword(s):  
Systematic Review ◽  
Neck Dissection ◽  
Meta Analysis ◽  
Elective Neck Dissection ◽  
Letter To The Editor ◽  
Salvage Laryngectomy

Elective neck dissection during salvage laryngectomy: A systematic review and meta‐analysis

2020 ◽  
Vol 130 (4) ◽  
pp. 899-906 ◽  
Author(s):  
Jennifer H. Gross ◽  
Peter M. Vila ◽  
Laura Simon ◽  
Zain H. Rizvi ◽  
Joseph Zenga ◽  
...  
Keyword(s):  
Systematic Review ◽  
Neck Dissection ◽  
Meta Analysis ◽  
Elective Neck Dissection ◽  
Salvage Laryngectomy

The role of elective neck dissection in patients undergoing salvage laryngectomy

Head & Neck ◽  
2012 ◽  
pp. n/a-n/a ◽  
Author(s):  
Moran Amit ◽  
Ohad Hilly ◽  
Leonor Leider-Trejo ◽  
Aharon Popovtzer ◽  
Orit Gutfeld ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Elective Neck Dissection ◽  
Salvage Laryngectomy

Is routine neck dissection warranted at salvage laryngectomy?

2021 ◽  
pp. 1-6
Author(s):  
S Sharma ◽  
D A Chaukar ◽  
M Bal ◽  
A K D'Cruz
Keyword(s):  
Neck Dissection ◽  
Residual Disease ◽  
Multivariable Analysis ◽  
Nodal Metastasis ◽  
Elective Neck Dissection ◽  
Occult Metastasis ◽  
Initial Node ◽  
Node Positive ◽  
Node Positive Disease ◽  
Salvage Laryngectomy

Abstract Background There is controversy regarding management of the neck at salvage laryngectomy. The aim of this study was to perform an analysis to determine the incidence of occult node positivity in this group and analyse factors affecting it. Method A retrospective analysis of 171 patients who underwent salvage total laryngectomy between 2000 and 2015 for recurrent or residual disease following definitive non-surgical treatment and were clinico-radiologically node negative at the time salvage laryngectomy was carried out. Results A total of 171 patients with laryngeal or hypopharyngeal cancers underwent concurrent neck dissection at laryngectomy. There were 162 patients (94.7 per cent) who underwent bilateral neck dissection, and 9 patients (5.3 per cent) who underwent ipsilateral neck dissection. The occult lateral nodal metastasis rate was 10.5 per cent. Of various factors, initial node positive disease was the only factor predicting occult metastasis on univariable and multivariable analysis (p = 0.001). Conclusion Risk of occult metastasis is high in patients who have node positive disease before starting radiotherapy. This group should be offered elective neck dissection.

Regarding Elective Neck Dissection During Salvage Laryngectomy: A Systematic Review and Meta‐Analysis

2020 ◽  
Vol 131 (1) ◽  
Author(s):  
Nagarjuna G. V. Reddy ◽  
Anand Subash ◽  
Vishal Rao
Keyword(s):  
Systematic Review ◽  
Neck Dissection ◽  
Meta Analysis ◽  
Elective Neck Dissection ◽  
Salvage Laryngectomy

Elective neck dissection for salvage laryngectomy: A systematic review and meta-analysis

Oral Oncology ◽  
2019 ◽  
Vol 96 ◽  
pp. 97-104 ◽  
Author(s):  
Chen Lin ◽  
Sidharth V. Puram ◽  
Mustafa G. Bulbul ◽  
Rosh K. Sethi ◽  
James W. Rocco ◽  
...  
Keyword(s):  
Systematic Review ◽  
Neck Dissection ◽  
Meta Analysis ◽  
Elective Neck Dissection ◽  
Salvage Laryngectomy

Is there a role for elective neck dissection with salvage laryngectomy? A decision-analysis model

2013 ◽  
Vol 123 (11) ◽  
pp. 2706-2711 ◽  
Author(s):  
Ohad Hilly ◽  
Sagit Stern ◽  
Einav Horowitz ◽  
Moshe Leshno ◽  
Raphael Feinmesser
Keyword(s):  
Decision Analysis ◽  
Neck Dissection ◽  
Elective Neck Dissection ◽  
Decision Analysis Model ◽  
Analysis Model ◽  
Salvage Laryngectomy

Complications and oncologic outcomes following elective neck dissection with salvage laryngectomy for the N0 neck

2016 ◽  
Vol 37 (3) ◽  
pp. 186-194 ◽  
Author(s):  
Monika E. Freiser ◽  
Rosemary B. Ojo ◽  
Kaming Lo ◽  
Sandra Saint-Victor ◽  
Craig Bollig ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Oncologic Outcomes ◽  
Elective Neck Dissection ◽  
N0 Neck ◽  
Salvage Laryngectomy
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