Comparative Study between Selective Neck Dissection and Radiotherapy in the Management of Clinically Node Negative Neck in Cases of Head and Neck Cancers = دراسة مقارنة بين العلاج الجراحي و العلاج الإشعاعي في معالجة الغدد الليمفاوية السلبية بالرقبة لمرضى سرطان الرأس و العنق

2015 ◽  
Vol 44 (4) ◽  
pp. 415-426
Author(s):  
Mohammed Abd El Rahman Shams El Deen ◽  
Eid Rizk Al Gammal ◽  
Said Hosny Al Bendary
Keyword(s):  
Comparative Study ◽  
Head And Neck ◽  
Neck Dissection ◽  
Head And Neck Cancers ◽  
Selective Neck Dissection ◽  
Node Negative

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

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.

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

Endoscopic Cervical Lymph Node Dissection Using the Extra-cervical Anterior Chest Wall Approach: A New Technique

2021 ◽  
pp. 155335062110576
Author(s):  
Islam A. Elzahaby ◽  
Mosab Shetiwy ◽  
Amr Hossam ◽  
Amr Elafy
Keyword(s):  
Head And Neck ◽  
Neck Dissection ◽  
Chest Wall ◽  
Anterior Chest Wall ◽  
Selective Neck Dissection ◽  
Open Approach ◽  
Primary Tumors ◽  
Estimated Blood Loss ◽  
The Mean ◽  
Neurovascular Structures

Introduction This study aims to demonstrate the safety, surgical feasibility, and esthetic features of total endoscopic neck dissection (END) through anterior chest wall approach (ACWA) without creation of any neck incisions. Resection of their primary tumors followed by selective total END through ACWA using 3 ports (one 10-mm port for the camera and two 5-mm ports for the working instruments). Methods From January 2020 to August 2020, 6 patients with a biopsy proven head and neck carcinoma underwent resection of their primary tumors followed by selective total END through ACWA using 3 ports (one 10-mm port for the camera and two 5-mm ports for the working instruments). Results The selective neck dissection was successfully performed endoscopically in all cases with no conversion to open approach and with good visualization of the major neurovascular structures. The operative time for the END ranged from 120 to 170 minutes, with 10–50 mL estimated blood loss. No significant perioperative complications were encountered. The mean total number of cervical LN retrieved was 13.67 + 2.42, and the mean LNR was .01 + .13. All patients were discharged in the third postoperative day, and they were satisfied with the cosmetic outcome. Conclusion Selective total END through ACWA is technically feasible and safe with satisfactory cosmetic results. The absence of neck scars and magnification of the important neurovascular structures are the most obvious advantages of this innovative technique. It may be a valid alternative to conventional surgery when performed in selected patients. However, further research with longer follow up is needed to clarify the oncological safety and the real benefits of END in head and neck cancer patients.

Surgical management of lymphangiomas in adults

1996 ◽  
Vol 110 (6) ◽  
pp. 586-589 ◽  
Author(s):  
A. J. Curran ◽  
N. Malik ◽  
D. McShane ◽  
C. V. I. Timon
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Head And Neck ◽  
Neck Dissection ◽  
Surgical Management ◽  
Neck Region ◽  
Selective Neck Dissection ◽  
Older Population ◽  
Head And Neck Region ◽  
Congenital Tumours

AbstractLymphangiomas are uncommon benign congenital tumours. Most occur in the head and neck region and the vast majority present before the age of two. This paper describes the presentation and management of four cases presenting after puberty and involving the parotid gland. The cases are unusual in that all were intimately associated with the facial nerve and in an older population. The value of selective neck dissection and facial nerve exposure as an approach to these lesions is discussed.

scholarly journals Regional Control of Head and Neck Melanoma With Selective Neck Dissection

2014 ◽  
Vol 140 (11) ◽  
pp. 1014 ◽  
Author(s):  
Mathew Geltzeiler ◽  
Marcus Monroe ◽  
Babak Givi ◽  
John Vetto ◽  
Peter Andersen ◽  
...  
Keyword(s):  
Head And Neck ◽  
Neck Dissection ◽  
Selective Neck Dissection ◽  
Regional Control ◽  
Head And Neck Melanoma
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