Efficacy of Routine Bilateral Neck Dissection in the Management of Supraglottic Cancer

2004 ◽  
Vol 131 (4) ◽  
pp. 485-488 ◽  
Author(s):  
Robert J. Chiu ◽  
Eugene N. Myers ◽  
Jonas T. Johnson
Keyword(s):  
Neck Dissection ◽  
Supraglottic Cancer ◽  
Bilateral Neck Dissection

Efficacy of routine bilateral neck dissection in the management of the N0 neck in T1–T2 unilateral supraglottic cancer

Head & Neck ◽  
2006 ◽  
Vol 28 (6) ◽  
pp. 534-539 ◽  
Author(s):  
Juan P. Rodrigo ◽  
Rubén Cabanillas ◽  
Virginia Franco ◽  
Carlos Suárez
Keyword(s):  
Neck Dissection ◽  
Supraglottic Cancer ◽  
N0 Neck ◽  
Bilateral Neck Dissection

Management of Cervical Metastases in Supraglottic Cancer

1996 ◽  
Vol 105 (11) ◽  
pp. 845-850 ◽  
Author(s):  
R. Theo Gregor ◽  
Augustinus A. M. Hart ◽  
Swi S. Oei ◽  
Alfons J. M. Balm ◽  
Frans J. M. Hilgers ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Total Laryngectomy ◽  
Partial Laryngectomy ◽  
Prognostic Variables ◽  
Disease Free Interval ◽  
Supraglottic Cancer ◽  
Free Interval ◽  
Bilateral Neck Dissection ◽  
Primary Radiotherapy ◽  
Disease Free

A retrospective review of patients from 1979 to 1988 was performed to assess the efficacy of neck dissection, prognostic factors, and the philosophy of treatment of me neck in supraglottic cancer. Of the 89 patients available for analysis, 26 were managed by horizontal partial laryngectomy (HPL), 44 by primary radiotherapy (RT), and 19 by total laryngectomy (TL). A total of 41 patients from the group had 63 neck dissections (NDs); 22 had bilateral and 19 unilateral dissections. A correlation of the pN with N staging revealed that when presenting with N2a nodes (>3 cm), one third had contralateral metastases, and with N2b (multiple), 100% had contralateral metastases. In multivariate analysis of the disease-free interval, age and staging emerged as independent prognostic variables. Although we observed no increased morbidity by dissecting the opposite side, our results did not support routine bilateral neck dissection in N0 patients. However, when the nodes are larger than 3 cm, or ipsilateral and multiple, bilateral neck dissection is recommended.

O122. Unilateral or bilateral neck dissection in patients with unilateral oral cancer? Results from 1984 to 2008

Oral Oncology ◽  
2011 ◽  
Vol 47 ◽  
pp. S69-S70
Author(s):  
A.M. Eckardt ◽  
G. Wegener ◽  
M. Rana ◽  
G. Diebler ◽  
S. Muscia ◽  
...  
Keyword(s):  
Oral Cancer ◽  
Neck Dissection ◽  
Bilateral Neck Dissection

scholarly journals Evaluation of simultaneous bilateral neck dissection.

1990 ◽  
Vol 83 (11) ◽  
pp. 1717-1723
Author(s):  
Yoshifumi Kobayashi ◽  
Yutaka Hayashi ◽  
Megumi Kumai ◽  
Tokuji Unno
Keyword(s):  
Neck Dissection ◽  
Bilateral Neck Dissection

scholarly journals Tortuous Carotid Artery Extended to Neck Level IIb Mimicking the Metastatic Mass

2016 ◽  
Vol 2016 ◽  
pp. 1-2
Author(s):  
Lokman Uzun ◽  
Oğuz Kadir Eğilmez ◽  
M. Tayyar Kalcioglu ◽  
Muhammet Tekin
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Neck Dissection ◽  
Laryngeal Carcinoma ◽  
Internal Carotid ◽  
Normal Anatomy ◽  
Bilateral Neck Dissection

Specifically in neck level IIb, the expected normal anatomy does not contain any vital structures and consequently it might direct a surgeon to perform rapid surgical dissection of tissues. Therefore aberrant anatomy of the vessels in the patients may be overlooked during neck dissection. Unexpected and potentially devastating injuries can be avoided by respecting the possible aberrant anatomy in any level of the neck. In this case report, a 74-year-old man was presented with laryngeal carcinoma who was treated with laryngectomy and bilateral neck dissection. During the left side neck dissection, tortuous internal carotid artery imitating a metastatic mass was unexpectedly encountered in level IIb. As in this case, surgeons should keep in mind possible aberrant anatomy during the neck dissection and perform surgery staying in surgical principles to be safe for an unforeseen and potential dangerous injuries.

S163 – Laser Endoscopic Microsurgery for Supraglottic Cancer

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P131-P131
Author(s):  
Jose A Pinto ◽  
Luciana Godoy ◽  
Valéria Marquis ◽  
Michelle Brunoro ◽  
Silvana Bellotto ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Co2 Laser ◽  
Endoscopic Treatment ◽  
Tumor Stage ◽  
Local Function ◽  
Cervical Metastasis ◽  
Laser Microsurgery ◽  
Supraglottic Cancer ◽  
Oncological Results ◽  
Endoscopic Microsurgery

Objectives Report our experience in the endoscopic treatment of supraglottic cancer with CO2 laser. Show the outcome reached with laser microsurgery in the treatment of supraglottic cancer. Methods From 1990 to 2007, 19 patients with supraglottic cancer underwent CO2 laser microsurgery. Results There were 7 (36.8%) T1, 5 (26.4%) T2, and 7 (36.8%) T3. T1 and T2 supraglottic tumors underwent endoscopic surgery with CO2 laser. T2 stage patients also were submitted to unilateral neck dissection. 2 patients (10.5%) with early supraglottic cancers had recurrence (one local and cervical and another cervical metastasis submitted to external surgery). Supraglottectomy with CO2 laser was performed to analize the preepiglottic space and to allow tumor stage. All T3 supraglottic tumors had pre-epiglottic invasion and underwent external supraglottic laryngectomy with neck dissection. Conclusions Endoscopic treatment for laryngeal cancer is an efficient therapy for early supraglottic cancers and is the best method to evaluate the preepiglottic invasion. This therapy makes local function possible without prejudice to oncological results.

S176 – Level II-B and V-A Lateral Neck Dissection in PTC

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P135-P135
Author(s):  
Tarik Y Farrag ◽  
Frank Lin ◽  
Noel Brownlee ◽  
Matthew Kim ◽  
Shiela Sheth ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Nodal Metastasis ◽  
Nodal Metastases ◽  
Lateral Neck ◽  
Cervical Metastasis ◽  
Time Level ◽  
Lateral Neck Dissection ◽  
Bilateral Neck Dissection ◽  
Level Ii

Objectives 1) Patterns of cervical metastasis in PTC. 2) Importance of elective dissection of levels II-B & V-A. Methods Charts were reviewed of 53 consecutive patients (February 2002-December 2007) with PTC who underwent lateral neck dissection that included at least levels II (A and B), and V (A and B). Results 53 patients underwent lateral neck dissection for FNA-confirmed nodal metastasis of PTC. 46 patients underwent unilateral neck dissection, while 7 had bilateral neck dissection, resulting in a total of 60 neck dissection specimens which were evaluated. Level II (A and B) was excised in 59/60 neck dissections, with 33 out of 59 specimens (33/59–%60) positive for metastasis. Level II-B was positive 5 times (5/59, 8.5%–95% CI: 2.4, 20.4); and each time level II-B was positive, level II-A was also positive for metastasis. Level III was excised 58 times and was positive in 38 specimens (38/58–66%). Level IV was excised 58 times and was positive in 29 specimens (29/58–50%). Level V (A and B) was excised 40 times and was positive in 16 specimens (16-40-40%). Level V-A did not account for any of the positive level V results. Conclusions Patients with PTC undergoing lateral neck dissection for FNA-confirmed nodal metastases might harbor disease in level II-B, especially if level II-A is involved. Elective dissection of level V-B should also be considered in this scenario, while routine level V-A dissection is not necessary.

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