الهدف: لتحديد مستوى النكس العقدي الموافق بالجهة بعد تجريف العنق فوق الكتلامية عند المرضى المصابين بسرطان في الشفة أو الفم أو البلعوم الفموي و المعالَجين في المركز الطبي نفسه.
بين عامي 2010 و 2013، أجري لـ 38 مريضاً 38 عملية تجريف عنق فوق الكتلامية.
النتائج: كانت هناك 5 حالات من النكس العقدي الموافق بالجهة (13%)، اثنتان منهما خارج حدود تجريف العنق فوق الكتلامية و ثلاث منها داخل حدود التجريف. لم توجد أية علاقة بين النكس العقدي و بين الحالة النسيجية للعقد اللمفية، 4 مرضى من أصل الـ 5 الذين لديهم نكس عقدي تلقوا علاجاً شعاعياً بعد الجراحة.
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 supraomohyoid 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.
References used
CUMMING, Ch. W. OTOLARYNGOLOGY HEAD & NECK SURGERY. 4th ed, mosby, USA, 2005, 2816
STELL & MARAN, J. C. HEAD and NECK SURGERY. 5th ed, Butterworth, London, 2013, 520
LORE, J. M. HEAD & NECK SURGERY. 4th ed, Elsevier, Pennsylvania, 1988,1491
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