A comparison of wound healing between irradiated and nonirradiated patients after radical neck dissection

VandenBerg, Henry J.; Chen, Shek C.; Blatt, Charles J.; Berkas, Ernest M.

doi:10.1016/0002-9610(65)90037-1

Cited by 16 publications

(3 citation statements)

References 5 publications

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“…12921*28* 30 The incidence of carotid artery catastrophe following treatment of supraglottic, glottic, superior hypopharynpeal, and inferior hypopharyngeal cancers is shown in Table 9. Suture line closure of hypopharyngeal lesions lie in direct proximity to the carotid artery.…”

Section: Discussionmentioning

confidence: 99%

Complications following surgery for cancer of the larynx and hypopharynx

Gall

Sessions

Ogura

1977

Cancer

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The hospital and office records of patients undergoing major surgery for cancer of the larynx and hypopharynx at the Washington University Medical Center, St. Louis from 1955 to 1972 were reviewed. Study parameters were correlated with the incidence of major complications and statistically analyzed to elucidate what factors contribute to increased complication rates. Abnormal margins of surgical resection were found to be significant in determining subsequent complication. Age, sex, race, site and stage of the primary tumor, and the presence of pre-treatment cervical lymph node fixation did not alter the rate of complications. Similarly, low dose preoperative irradiation, various forms of carotid artery protection, and surgical patholgic findings including the size of the tumor, number of positive cervical nodes and cellular characteristics of the tumor showed no significant effect on the rate of complications. Increased total complication rate was associated with an increased death rate. Common complications included wound infection, wound necrosis, salivary fistula, hemorrhage, and carotid artery catastrophe. Also considered were operative deaths and delayed fatal complications. The common causes and treatment of these complications are outlined and safeguards which have been valuable in a sizeable number of patients are discussed.

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Section: Discussionmentioning

confidence: 99%

Complications following surgery for cancer of the larynx and hypopharynx

Gall

Sessions

Ogura

1977

Cancer

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“…4,22,33 Similarly, radiotherapists have long recognized that surgically induced alterations of the tumor bed as well as the possibility of dissemination of tumor cells by surgical manipulation diminish the radio-curability in any situation treated postoperatively. Most surgeons prefer to operate in fields not previously irradiated because of the danger of delayed healing or worse.…”

Section: Resultsmentioning

confidence: 99%

Carcinoma of the Larynx

Hayes¹,

Atkins

Raventos

1971

Ann Otol Rhinol Laryngol

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“…Radium, cobalt 60, and conventional 200 kv therapy provide higher risk potential than does supravoltage therapy because the latter causes less tissue destruction. 1,2 Complications which will be discussed include both local and special problems which occur postoperatively in radical neck sur¬ gery. Operative and general postoperative complications such as hemorrhage, atelectasis, pneumonia, and hypovolemic shock will not be discussed.…”

mentioning

confidence: 99%

Complications of Radical Neck Dissection

Parnell¹

1968

Archives of Otolaryngology - Head and Neck Surgery

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A comparison of wound healing between irradiated and nonirradiated patients after radical neck dissection

Cited by 16 publications

References 5 publications

Complications following surgery for cancer of the larynx and hypopharynx

Complications following surgery for cancer of the larynx and hypopharynx

Carcinoma of the Larynx

Complications of Radical Neck Dissection

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