scholarly journals MODIFIED RADICAL NECK DISSECTION FOR POSITIVE LYMPH NODE CASES WITH TONGUE CANCER OR HYPOPHARYNGEAL CANCER

Toukeibu Gan ◽  
2005 ◽  
Vol 31 (3) ◽  
pp. 376-381 ◽  
Author(s):  
Seiichi YOSHIMOTO ◽  
Shin-etsu KAMATA ◽  
Kazuyoshi KAWABATA ◽  
Hiroki MITANI ◽  
Hiroyuki YONEKAWA ◽  
...  
Keyword(s):  
Lymph Node ◽  
Neck Dissection ◽  
Tongue Cancer ◽  
Radical Neck Dissection ◽  
Hypopharyngeal Cancer ◽  
Positive Lymph Node ◽  
Modified Radical Neck Dissection

scholarly journals Extent of neck dissection for patients with clinical N1 oral cancer

2020 ◽  
Vol 25 (6) ◽  
pp. 1067-1071 ◽  
Author(s):  
Yasumasa Kakei ◽  
Hirokazu Komatsu ◽  
Tsutomu Minamikawa ◽  
Takumi Hasegawa ◽  
Masanori Teshima ◽  
...  
Keyword(s):  
Lymph Node ◽  
Lymph Node Metastasis ◽  
Oral Cancer ◽  
Neck Dissection ◽  
Tongue Cancer ◽  
Positive Lymph Node ◽  
University Hospital ◽  
Oral Cancers ◽  
Node Metastasis ◽  
Level Ii

Abstract Background No clear consensus has been reached on the indication of supraomohyoid neck dissection (SOHND) for clinically positive lymph-node metastasis. Patients Consecutive 100 patients with previously untreated oral cancer treated at Kobe University Hospital were included in this study. All patients were clinically staged as anyTN1M0 and underwent radical dissection of the primary site and level I–V neck dissection as the initial treatment. Results None of the 100 patients had pathological lymph-node metastasis (pLN) to level V. pLN to level IV was observed in two patients with tongue cancer in whom clinical lymph-node metastasis was preoperatively observed at level II. Conclusions Level V may be excluded in the neck dissection for patients with N1 oral cancers. Level IV dissection should be considered in the patient with tongue cancer and clinical lymph-node metastasis at level II.

scholarly journals Medial clavicle fracture with bone destruction after radical neck dissection combined with postoperative chemotherapy for secondary cervical lymph node metastasis of tongue cancer: a case report

2021 ◽  
Author(s):  
Masayasu Tashiro ◽  
Tomoaki Sano ◽  
Kazutaka Sugiura ◽  
Yasuhito Minamida ◽  
Yoshihiro Abiko ◽  
...  
Keyword(s):  
Case Report ◽  
Lymph Node ◽  
Neck Dissection ◽  
Cervical Lymph Node ◽  
Tongue Cancer ◽  
Rare Complication ◽  
Clavicle Fracture ◽  
Radical Neck Dissection ◽  
Bone Destruction ◽  
The Right

Abstract Background Clavicle fractures (CF) after radical neck dissection (RND) for oral cancer are rare but are thought to occur as a result of myotonia and decreased blood supply to the muscles around the clavicle after RND. The current report presents a rare case of a non-neoplastic pathological CF after RND, and discusses the role of imaging examinations for the timely detection of CF. Case report An 82-year-old Japanese man underwent RND followed by chemotherapy without radiotherapy for secondary metastasis of the right cervical lymph node after resection of tongue cancer. Computed tomography at 6 months after RND revealed a fracture with bone destruction in the proximal end of the right clavicle. He had no history of trauma at the site of the fracture and no symptoms. The possibility of bone metastasis of the clavicle was considered; however, the bone destruction had not advanced 6 years after the discovery of the fracture. The CF was thus finally considered to be a side effect of RND, rather than metastasis. Conclusion CF is a rare complication following treatment for head and neck cancer but can be caused by neck dissection. Regular imaging examinations, including the clavicular region, are therefore needed before and after surgery to ensure the timely detection of CF.

scholarly journals Endoscopic Selective Neck Dissection via Retroauricular Approach

2021 ◽  
Vol 64 (4) ◽  
pp. 285-289
Author(s):  
Joo Hyun Kim ◽  
Jae Hong Park
Keyword(s):  
Lymph Node ◽  
Neck Dissection ◽  
Tongue Cancer ◽  
Cell Cancer ◽  
Radical Neck Dissection ◽  
Selective Neck Dissection ◽  
Node Negative ◽  
Oral Tongue Cancer ◽  
Retroauricular Approach ◽  
Level I

Lymph node metastasis is the single, most powerful prognostic factor in head and neck squamous cell cancer, which means that cervical lymph node management should be considered even in treatment of a clinically node-negative neck. More conservative and selective techniques of neck dissection have been developed ever since radical neck dissection was first introduced. Despite that selective neck dissection provides less functional damage, disfiguring scar after neck dissection still remains inevitable. Recently, surgical endoscopy and robotic system was introduced and many clinical trials for aesthetic approach for neck dissection using endoscopy have shown their feasibility and safety. Hereby, we describe the preparation and surgical procedure for endoscopic selective neck dissection (level I, II, and III) via retroauricular approach for 41-year-old male patient with clinically node-negative oral tongue cancer.

scholarly journals Dissection of posterior triangle and lower deep jugular lymph node is mandatory in therapeutic neck dissection as a part of treatment for squamous cell carcinoma of oral cavity with clinically N1 neck

2019 ◽  
Vol 5 (6) ◽  
pp. 1517
Author(s):  
Shilpa R. ◽  
Azeem Moyihuddin
Keyword(s):  
Squamous Cell Carcinoma ◽  
Lymph Node ◽  
Oral Cancer ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Neck Dissection ◽  
Squamous Cell ◽  
Radical Neck Dissection ◽  
Modified Radical Neck Dissection ◽  
Posterior Triangle

<p class="abstract"><strong>Background:</strong> In India oral cancer is the commonest malignant neoplasm, accounting for 20-30% of all cancers. Southern India presents the highest oral cancer incidence rates among women worldwide.</p><p class="abstract"><strong>Methods:</strong> This study was conducted in R. L. Jalappa Hospital and Research Centre and SDU Medical College Kolar, Karnataka. Thirty patients having oral squamous cell carcinoma with clinically N<sub>1 </sub>neck undergoing modified radical neck dissection between December 2010 and June 2012 were enrolled in the study. The objective of study was to determine whether dissection of posterior triangle and lower deep jugular lymph node is mandatory in therapeutic neck dissection as a part of treatment for squamous cell carcinoma of oral cavity with clinically N<sub>1 </sub>neck.  </p><p class="abstract"><strong>Results:</strong> Out of 24 patients, 16 patients underwent wide excision with hemimandibulectomy. In these 16 cases, 2 patients had reconstruction with double flap while rest 14 cases with island pectoralis major myocutaneous flap. Out of remaining 8 patients, 2 patients underwent marginal mandibulectomy. In all these 8 patients, reconstruction was done using nasolabial flap in 1 patient, buccal pad of fat in 2 patients, masseter flap in 1 patient and forehead flap in 4 patients. In carcinoma anterior 2/3<sup>rd</sup> tongue, all 6 patients underwent hemiglossectomy with simultaneous modified radical neck dissection.</p><p class="abstract"><strong>Conclusions:</strong> It was concluded that during neck dissection, it may be oncologically safe to avoid level IV and level V clearance in buccal mucosa squamous cell carcinoma with N<sub>1</sub> neck.</p>

Sign in / Sign up

Export Citation Format

Share Document