Objective: to evaluate the efficacy of the selective neck dissection in the
management of the clinically node-negative neck.
Study Design case histories were evaluated retrospectively.
Methods the results of 75 neck dissections performed on 52 pat
ients were studied.
Results theprimarysites were oral cavity 20, oropharynx 7, hypopharynx 4, and
latynx 21.
14 necks (23%) were node positive on pathological examination. The number of
positive nodes varied from 1 to 9 per side. Of necks with positive 4 (24%) had
extracapsular spread. The median follow up was 24 months. Two recurrences developed
outside the dissected field. The incidence of regional recurrences was similar in patients in
whom nodes were negative on histological examination 3% when compared with patients
with positive nodes without extracapsular spread 4%. In contrast regional recurrence
developed in 18% of necks with extracapsular spread. This observation was statistically
significant. Patients having more than two metastatic lymph nodes had a higher incidence
of recurrent disease than the patients with carcinoma limited to one or two nodes.
Conclusion SND is effective for controlling neck disease and serves to detect
patients who require adjuvant therapy.
Objectives: This study aims to evaluate the pattern of nodal metastasis to level V in
parotid cancer and to examine the clinical value of level V neck dissection (LVND).
Study Design: Retrospective study.
Methods: LVND was performed in 10.6% and 2
8.2% of patients with clinical N0
(cN0) and cN+ neck disease, respectively. The prevalence of pathological positive nodal
metastasis was 0% (cN0) and 81.8% (cN+). In patients with cN0 neck, the rate of
recurrence in level V was 6%.
Conclusion: in our patient cohort, LVND was necessary in patients with cN+ neck
because there was a high likelihood for pathologically positive nodal metastasis. In patients
with cN0 neck, the rate of recurrence in level V was low enough not to warrant a routine
inclusion of LVND.
Objective : to analyze the level (site) of ipsilateral neck recurrences after
supraomohyoid neck dissection in patients with lip, oral and oropharyngeal cancer treated
in a single institution.
Between 2010 – 2013, 38 patients underwent 38 supraomo
hyoid neck dissection.
Results: there were 5 cases (13%) of ipsilateral neck recurrences, 2 were beyond the
limits of the supraomohyoid neck dissection, and 3 were inside these limits. There was no
association of neck recurrences with pathological status of lymph nodes. 4 of the 5
recurrences were in patients who underwent postoperative radiotherapy.
Late – Stage Laryngeal Carcinoma (T3-T4 ) Has A High Incidence Of Cervical
Metastasis . The Incidence Of Subclinical Metastasis Is Not Well Described In None Irradiation And
Irradiation Patients Initially Clinically T3,T4) With Negative Nodes Of Th
e Neck ,And The Treatment Of
These Patients Is Contraversal.
Identify The Incidence Of Subclinical Metastatic Disease In (T3,T4) ) With Negative Nodes Of The Neck
Undergoing Functional Neck Dissections With Laryngectomy. And Identify The Incidence Of Subclinical
Metastatic Disease In Those Patients Who Faild Radiotherapy. Are There Any Benefits Of Cts In Those
Patients? .And What Is The Most Aproprait Therapy?.
