Bilateral Radical Dissection of the Neck

Barber, Kent W.

doi:10.1001/archsurg.1961.01300150062008

Cited by 24 publications

(8 citation statements)

References 7 publications

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“…Only 15% showed no evidence of tumor recurrence. Similar results have been reported for several other series [13,14,[24][25][26]28,30,33,37,51]. We continue, however, to indicate surgery forced by the lack of treatment alternatives.…”

Section: Discussionsupporting

confidence: 89%

“…No 5-year survival was observed in patients staged as N3 or Nx. Several investigators also observed an extremely poor prognosis for patients with more advanced lymph node dissemination [14,20,[58][59][60][61][62][63][64].…”

Section: Discussionmentioning

confidence: 99%

“…Although complications and mortality after an unilateral neck dissection are low and acceptable, changes are dramatic when there is indication for a bilateral dissection. To reduce such devastating consequences, most authors prefer to divide the operation in two stages with an interval of 2 weeks between surgeries whenever there are bilateral metastatic lymph nodes [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

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Bilateral radical neck dissection: Results in 193 cases

Magrin

Kowalski

2000

J. Surg. Oncol.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bilateral radical neck dissection: Results in 193 cases

Magrin

Kowalski

2000

J. Surg. Oncol.

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“…But it is not infrequent to see such patients when thus treated to have progression of disease with fixity and subsequent ulceration of the neck masses with intolerable constant pain before succumbing to the disease. Radiation therapy given to such patients has very little to offer in terms of palliation or survival [1,7]. Thus, to prevent the usual consequences of the progression of already advanced disease, the tumor, if and when possible, may be removed by surgery with a hope to have a "local control" of the disease.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous bilateral neck dissection

Razack

Sako

Baffi

et al. 1980

Journal of Surgical Oncology

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The presence of bilateral cervical nodal metastases secondary t o intraoral, laryngeal and hypopharyngeal carcinoma was once thought t o make the condition inoperable and "incurable". It was also stated that the mortality from bilateral neck dissection would most likely exceed the number of patients cured by this procedure. We have a number of patients who had and tolerated it well, with a few surviving even for three and five years. We wish t o report the morbidity, mortality and cure rate with simultaneous bilateral neck dissection in patients who had this procedure.sections were performed as a part of oral, laryngeal or hypopharyngeal resections. Fifty-three patients had a classical bilateral radical neck dissection while in six patients one of the internal jugular veins and in two patients both of these veins were preserved. Six out of 61 (9%) patients had received radiation therapy previously. Nodal clearance was done in all the patients. Six out of 61 (8%) patients died within one month, three of whom never regained consciousness and died within 48 hours of the procedure. Sixty-three percent (39/55) of patients developed immediate postoperative facial swelling and wound infection. Thirty-six percent (22/5 5 ) had orocutaneous fistulae; of these, 11% (7/55) had carotid artery blowouts. Sixteen percent (10/55) of patients had significant pulmonary complication. The percentage of patients who were free of disease at 6 months, 1 year, 1% years, 3 years, and 5 years following the procedure was 54% (26/48), 37% (18/48), 29% (14/48), 20% (10/48) and 12.5% (6/48), respectively.It appears from the present study that although bilateral neck dissection has a high postoperative morbidity and mortality rate, it can effectively control the disease in a significant number of patients with a 20% three-year and 12.5% five-year cure rate.

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“…Primary indications are : 1) when metastatic lesions are present on both side of the neck; 2) as fundamental principle of oncology to avoid cutting through cancer tissue; and 3) any delay in carrying out surgery might permit the condition on either side to become inoperable. [18][19][20] As per one of the study, simultaneous bilateral neck dissection has an operative mortality of 10% with 11% life threatening complication and 62% significant facial swelling. There is an overall three-and five-year survival rate of 20% and 12.5 % respectively 3 .…”

Section: Discussionmentioning

confidence: 80%