Neurovascular Complications After Neck Dissection: a Prospective Analysis at a Tertiary Care Centre in South India

Sharma, Nitisha; George, Nebu Abraham; Stolzmann, Paul

doi:10.1007/s13193-020-01229-w

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…A total of 146 studies were ultimately included in our meta‐analysis 9,24–167 . A PRISMA diagram outlining our search is shown in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

Vascular events in patients with head and neck cancer: A systematic review and meta‐analysis

Monaghan,

Duckett,

Nguyen

et al. 2024

Head & Neck

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ObjectiveTo assess the incidence of vascular events in patients with head and neck cancer.Review MethodsPrimary studies identified through April 2023. Meta‐analysis was performed.ResultsThere were 146 studies included in the systematic review. Rates of events were collected in the overall group, those with chemoprophylaxis, and those that underwent surgery, radiation, or chemotherapy. Of 1 184 160 patients, 4.3% had a vascular event. Radiation therapy had highest risk of overall events and stroke when compared to surgery and chemotherapy. Chemotherapy had a higher risk of stroke and overall events when compared to surgery.ConclusionsVascular events occur in 4%–5% of patients with head and neck cancer. Our data does not support the use of routine anticoagulation. Patients undergoing radiation therapy had the highest frequency of events.

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“…A total of 146 studies were ultimately included in our meta‐analysis 9,24–167 . A PRISMA diagram outlining our search is shown in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

Vascular events in patients with head and neck cancer: A systematic review and meta‐analysis

Monaghan,

Duckett,

Nguyen

et al. 2024

Head & Neck

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show abstract

“…Consequently 11 studies were included in this review (Table 1). 2,[5][6][7][8][9][10][11][12][13][14] All studies were of good quality, with AXIS scores ranging from 15 to 20 and no studies were excluded due to poor quality.…”

Section: Resultsmentioning

confidence: 99%

The phrenic nerve; the forgotten nerve in head and neck surgery

Lee

Gan

Zhang

2023

ANZ Journal of Surgery

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Background Neck dissection is a commonly performed procedure for oncologic control of head and neck malignancy. With contemporary modified radical and selective neck dissections, haematoma, wound infection, tissue necrosis, chyle leak and injury involving the marginal mandibular, hypoglossal, vagus or accessory nerves are commonly described complications. Although the phrenic nerve courses within the surgical planes explored during a neck dissection and has a vital function in innervating the diaphragm, few studies have been performed to investigate the exact incidence of post‐operative phrenic nerve paresis. This study aims to review the literature as to the rate of phrenic nerve injury following neck dissection. Methods A systematic literature review was conducted from 2000 to 2022 including studies reporting on phrenic nerve paresis following neck dissection. Results In total, 11 studies were included. The reported rate of immediate post‐operative phrenic nerve paresis ranged from 0% to 5.3%, with an average rate of 0.613% (12/1959). The reported rate of phrenic nerve paresis at follow‐up (1 month–127 months) ranged from 0% to 4.7%, with an average rate of 1.035% (5/483). There were no cases of bilateral phrenic nerve paresis reported in this period. Conclusions Phrenic nerve paresis is an uncommon complication following neck dissection, often asymptomatic and potentially underreported. Bilateral phrenic nerve paresis is exceedingly rare. Injury can be avoided by staying superficial to the prevertebral fascia when dissecting around the anterior scalene muscle. Routine phrenic nerve integrity monitoring is not commonly utilized but may aid intra‐operative phrenic nerve identification or confirmation of function.

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Treatment modalities, surgical principles, and rehabilitation considerations in head and neck cancer

Samarah,

Crawley,

Young

2025

Head and Neck Cancer Rehabilitation

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Neurovascular Complications After Neck Dissection: a Prospective Analysis at a Tertiary Care Centre in South India

Cited by 4 publications

References 17 publications

Vascular events in patients with head and neck cancer: A systematic review and meta‐analysis

Vascular events in patients with head and neck cancer: A systematic review and meta‐analysis

The phrenic nerve; the forgotten nerve in head and neck surgery

Treatment modalities, surgical principles, and rehabilitation considerations in head and neck cancer

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