Standardizing Neck Dissection Terminology: Official Report of the Academy's Committee for Head and Neck Surgery and Oncology

Robbins, K. Thomas; Medina, Jesús E.; Wolfe, G T; Levine, Paul A.; Sessions, Roy B.; Pruet, C W

doi:10.1001/archotol.1991.01870180037007

Cited by 720 publications

(311 citation statements)

References 4 publications

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“…Clinically suspicious cervical lymph nodes were confirmed by preoperative cytologic or intraoperative frozen section examination. Patients with proven metastases underwent selective neck dissection of region II-V (according to Robbins et al 21 ), including the lymph nodes along the jugular chain, the tracheoesophageal grooves, and the posterior triangle of the neck.…”

Section: Initial Treatmentmentioning

confidence: 99%

Implications of mediastinal uptake of ¹³¹I with regard to surgery in patients with differentiated thyroid carcinoma

Haveman

Phan

Links

et al. 2004

Cancer

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BACKGROUNDFindings of mediastinal uptake of 131I after surgical treatment for differentiated thyroid carcinoma (DTC) are common, especially in young patients. Given the frequency of false‐positive findings, a protocol for diagnostic and therapeutic strategies would be useful. With the goal of accurately selecting management strategies, the authors analyzed their data and data found elsewhere in the literature for correlations with the incidence of mediastinal 131I uptake and with treatment for patients exhibiting such 131I uptake.METHODSAll patients with DTC who were treated between 1978 and 2000 at Groningen University Hospital (Groningen, The Netherlands) and who received adjuvant 131I ablation therapy were included in the current analysis, which involved retrospective review of all relevant data.RESULTSFive hundred four patients with DTC initially underwent total thyroidectomy, with additional 131I ablation performed for 489 of these patients. In 48 of 489 patients (9.8%), 131I uptake was seen in the mediastinum on a posttreatment scan. Analysis of those 48 patients and of cases in the literature demonstrated that serum thyroglobulin levels, risk status, and the presence of thymus on radiologic images were important in the surgical decision‐making process.CONCLUSIONSMediastinal uptake of 131I on posttreatment scans was found in approximately 10% of patients after total thyroidectomy for DTC. Based on the current data and the data presented in the literature, the authors developed a flow chart for determining appropriate treatment strategies, which included mediastinal dissection for high‐risk patients and for patients with serum thyroglobulin levels > 10 ng/mL. Cancer 2005. © 2004 American Cancer Society.

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Section: Initial Treatmentmentioning

confidence: 99%

Implications of mediastinal uptake of ¹³¹I with regard to surgery in patients with differentiated thyroid carcinoma

Haveman

Phan

Links

et al. 2004

Cancer

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“…The neck dissections were classified according to the Official Report of the Academy's Committee for Head and Neck Surgery and Oncology (20). Of the 77 ipsilateral neck dissections performed, 9 were radical, 10 modified radical, 29 functional and 29 were supraomohyoidal.…”

Section: Surgerymentioning

confidence: 99%

Treatment of Squamous Cell Carcinoma of the Oral Cavity, Oropharynx and Hypopharynx An Analysis of 174 Patients in South Western Finland

et al. 2003

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“…When the accessory nerve is not sacrificed, as in functional or modified neck dissections, shoulder complaints are still reported by 31% to 60 % of the subjects [18,19,20]. In our study all 50 patients (100%) had shoulder pain after FND.…”

Section: Discussionmentioning

confidence: 52%

Assessment of shoulder function after functional neck dissection and selective neck dissection (Levels I, II, III) in patients with carcinoma of tongue: a comparative study

Prasad

Sharma

Thomas

et al. 2009

J. Maxillofac. Oral Surg.

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Background and objectivesTo compare shoulder function with respect to pain and disability in patients who have undergone nerve sparing neck dissection i.e. selective neck dissection (levels I, II, III) and functional neck dissection as a part of their treatment modality for carcinoma tongue on a follow up of minimum six months. Material and methods A total of 100 patients were selected for this study. 50 patients who had undergone selective neck dissection (levels I, II, III) and 50 who underwent functional neck dissection as a part of their treatment modality for squamous cell carcinoma of the tongue from January 2005 to January 2007 were asked to participate in this study. A standardized questionnaire was used to assess pain and disability. Pain and disability scores were then compared between the two nerve sparing dissections. Results 100% of the patients in Selective Neck Dissection (SND) (levels I, II, III) group and in Functional Neck Dissection (FND) groups complained of pain. Though there is pain present in both the treatment groups, no significant difference in the pain values was found between FND and SND (levels I, II, III) in any of the pain parameters. Disability was present in both the treatment groups. However patients who have undergone FND had significantly higher severity of disability when compared to SND (levels I, II, III) especially during activities which involve shoulder abduction like dressing, doing heavy household work, hair wash and washing clothes/dishes (5.18, 5.22, 5.5, 4.88 in FND and 2.26, 4.08, 4.58, 2.2 in SND (levels I, II, III) respectively. Disability perceived during other activities like doing heavy household and facial care was 2.08 and 1.84 in both the treatment groups respectively. Interpretation and Conclusion Degree of shoulder morbidity is much higher in patients who have undergone FND as compared to SND (levels I, II, III) as a treatment modality for carcinoma tongue, even though both the treatment options are nerve preserving.

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Standardizing Neck Dissection Terminology: Official Report of the Academy's Committee for Head and Neck Surgery and Oncology

Cited by 720 publications

References 4 publications

Implications of mediastinal uptake of ¹³¹I with regard to surgery in patients with differentiated thyroid carcinoma

Implications of mediastinal uptake of ¹³¹I with regard to surgery in patients with differentiated thyroid carcinoma

Treatment of Squamous Cell Carcinoma of the Oral Cavity, Oropharynx and Hypopharynx An Analysis of 174 Patients in South Western Finland

Assessment of shoulder function after functional neck dissection and selective neck dissection (Levels I, II, III) in patients with carcinoma of tongue: a comparative study

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Standardizing Neck Dissection Terminology: Official Report of the Academy's Committee for Head and Neck Surgery and Oncology

Cited by 720 publications

References 4 publications

Implications of mediastinal uptake of 131I with regard to surgery in patients with differentiated thyroid carcinoma

Implications of mediastinal uptake of 131I with regard to surgery in patients with differentiated thyroid carcinoma

Treatment of Squamous Cell Carcinoma of the Oral Cavity, Oropharynx and Hypopharynx An Analysis of 174 Patients in South Western Finland

Assessment of shoulder function after functional neck dissection and selective neck dissection (Levels I, II, III) in patients with carcinoma of tongue: a comparative study

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Implications of mediastinal uptake of ¹³¹I with regard to surgery in patients with differentiated thyroid carcinoma

Implications of mediastinal uptake of ¹³¹I with regard to surgery in patients with differentiated thyroid carcinoma