The impact of surgical technique on neck dissection nodal yield: making a difference

European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
B B LörinczR Knecht

Abstract

The nodal yield of neck dissections is an independent prognostic factor in several types of head and neck cancer. The authors aimed to determine whether the applied dissection technique has a significant impact on nodal yield. This is a single-institution, prospective study with internal control group (level of evidence: 2A). Data of 150 patients undergoing 223 neck dissections between February 2011 and March 2013 have been collected in a comprehensive cancer centre. Eighty-two patients underwent neck dissection with unwrapping the cervical fascia from lateral to medial, while 68 patients were operated without specifically unwrapping the fascia, in a caudal to cranial fashion. The standardised, horizontal neck dissection technique along the fascial planes resulted in a significantly higher nodal count in Levels I, II, III and IV, as well as in terms of overall nodal yield (mean: n = 22.53) than that of the vertical dissection applied in the control group (mean: n = 15.00). This is the first publication showing a direct correlation between neck dissection nodal yield and surgical technique. Therefore, it is paramount to optimise the applied surgical concept to maximise the oncological benefit.

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Citations

Feb 15, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Arne BöttcherSteffen Knopke
Nov 26, 2015·International Journal of Surgery·Nikolaus MöckelmannRainald Knecht
Nov 6, 2018·Surgical and Radiologic Anatomy : SRA·Nejc Umek, Erika Cvetko
Aug 19, 2020·Journal of Cancer Research and Clinical Oncology·Arne BöttcherNikolaus Möckelmann
Sep 3, 2020·Technology in Cancer Research & Treatment·Lifeng JiaWei Yuan
Mar 12, 2017·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Balazs B Lörincz
Dec 6, 2017·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Christian JacobiPhilipp Baumeister
Nov 12, 2015·Deutsches Ärzteblatt International·Balazs B Lörincz, Rainald Knecht
Apr 8, 2021·Annales de chirurgie plastique et esthétique·L DekerleG Dolivet

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