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Clinical experiences with surgical therapy of cervical metastases from head and neck cancer

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Abstract

Indications for the various techniques of neck dissection can undergo substantial variations according to the metastatic picture found, biological aggressiveness of tumor, nodal volume and personal philosophies of the attending clinician. In the present paper we report our clinical experience with radical neck dissections, “functional” neck dissections and selective neck dissections — in total, 1658 neck dissections carried out between 1976 and 1991. We discuss the indications and contra-indications of the various surgical techniques of neck dissection and evaluate the long-term results. Our current preference is to use the Suarez-Bocca “functional” technique of neck dissection for prophylactic treatment of the neck and for therapeutic treatment of the neck when intracapsular metastases already exist.

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References

  1. Bartelink H, Breur K, Hart G (1982) Radiotherapy of lymph node metastases in patients with squamous-cell carcinoma of the head and neck region. Int J Radiat Oncol Biol Phys 8:983–989

    Google Scholar 

  2. Becker GO, Parell GJ (1979) Technique of preserving the spinal accessory nerve during radical neck dissection. Laryngoscope 89:827–831

    Google Scholar 

  3. Bocca E (1966) Supraglotric laryngectomy and functional neck dissection. J Laryngol Otol 80:831–838

    Google Scholar 

  4. Bocca E (1976) Critical analysis of the techniques and value of neck dissection. Nuovo Arch Ital Otol Rhinol Laryngol 4:151–158

    Google Scholar 

  5. Bocca E, Pignataro O (1967) A conservation technique in radical neck dissection. Ann Otol Rhinol Laryngol 76:975–988

    Google Scholar 

  6. Bocca E, Pignataro O, Sasaki CT (1980) Functional neck dissection. A description of operative technique. Arch Otolaryngol 106:524–527

    Google Scholar 

  7. Byers RM (1985) Modified neck dissection. Am J Surg 150:414–421

    Google Scholar 

  8. Calearo C, Campora E de (1986) Chirurgia dei linfonodi cervicali. In: Paletto AE (ed) Trattato di tecnica chirurgica, XII. UTET, Turin, p 363

    Google Scholar 

  9. Calearo C, Teatini G (1976) Lo svuotamento funzionale laterocervicale — tecnica chirurgica. Nuovo Arch Ital Otol Rinol Laringol 4:177–202

    Google Scholar 

  10. Calearo C, Teatini G (1983) Functional neck dissection. Anatomical grounds, surgical technique, clinical observations. Ann Otol Rhinol Laryngol 92:215–222

    Google Scholar 

  11. Castigliano SG, Rominger CJ (1954) Distant metastases from carcinoma of the oral cavity. Am J Roentgenol 71:997–1003

    Google Scholar 

  12. Grandi C, Alloisio M, Moglia D, Podrecca S, Sala L, Salvatori P, Molinari R (1985) Prognostic significance of lymphatic spread in head and neck carcinomas: therapeutic implications. Head Neck Surg 8:67–73

    Google Scholar 

  13. Hayem M, Flamant R, Schwartz D, Denoix P (1963) Evidement de principe ou abstention? A propos du traitment chirurgical des aires ganglionnaires cervicales des cancers de la portion mobile de la langue. J Chir 85:189–198

    Google Scholar 

  14. Hayes-Martin E, Del Valle B, Ehrlich HE, Gahan WG (1951) Neck dissection. Cancer 4:441–452

    Google Scholar 

  15. Jesse RH, Ballantyne AJ, Larson D (1978) Radical or modified neck dissection: a therapeutic dilemma. Am J Surg 136:516–519

    Google Scholar 

  16. Johnson JT, Barnes EL, Meyers EN, Schramm VL, Borochovitz D, Sigler BA (1981) The extracapsular spread of tumors in cervical nodal metastasis. Arch Otolaryngol 107:725–729

    CAS  PubMed  Google Scholar 

  17. Kalnins JK, Leonard AG, Soko K, Razak MS, Shed DP (1977) Correlation between prognosis and degree of lymph node involvement in carcinomas of the oral cavity. Am J Surg 134:450–454

    Article  CAS  PubMed  Google Scholar 

  18. Leipzig B, Hokanson JA (1982) Treatment of cervical lymphnodes in carcinomas of the tongue. Head Neck Surg 5:3–9

    Google Scholar 

  19. Lingeman RE, Helmus C, Stephens E, Ulm J (1977) Neck dissection: radical or conservative. Ann Otol Rhinol Laryngol 86:737–744

    Google Scholar 

  20. Luboinski B, Schwaab G, Marandas P (1977) Facteurs prognostiques cliniques des adenopathies cervicales metastatiques. Nuovo Arch Ital Otol Laryngol 5:461–472

    Google Scholar 

  21. Martin H, Del Valle B, Ehrlich H, Kahan WG (1951) Neck dissection. Cancer 4:441–449

    Google Scholar 

  22. Mendelson BC, Woods JE, Beahrs OH (1976) Neck dissection in the treatment of carcinoma of the anterior two-thirds of the tongue. Surg Gynecol Obstet 143:75–80

    Google Scholar 

  23. Molinari R, Cantú G, Chiesa F, Grandi C (1980) Retrospective comparison of conservative and radical neck dissection in laryngeal cancer. Ann Rhinol Laryngol 89:578–581

    Google Scholar 

  24. O'Brien M, Urist MM, Maddox WA (1987) Modified radical neck dissection: terminology, technique and indications. Am J Surg 153:310–316

    Google Scholar 

  25. Richard JM, Vandenbrouk C, Schwaab G (1977) Role et valeur prognostique du ganglion sous digastrique (on de Kuttner) en fonction de la localisation. Arch Ital Otol Rinol Laringol 5:455–460

    Google Scholar 

  26. Robbins KT (1991) Neck dissection classification and TNM staging of head and neck cancer. American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria

    Google Scholar 

  27. Sancho H, Hauss G, Saravane D (1977) Etude des correlation histo-cliniques consequences sur le flau prognostic des adenopathies cervicales metastatiques. Nuovo Arch Ital Otol Laryngol 5:473–480

    Google Scholar 

  28. Schuller DE, Mc Guirt WF, Mc Cabe BF, Young D (1980) The prognostic significance of the metastasic cervical lymph nodes. Laryngoscope 90:557–570

    Google Scholar 

  29. Shah JP, Strong E, Spiro RH, Vikram B (1981) Neck dissection: current status and future possibilities. Clin Bull 11:25–33

    Google Scholar 

  30. Skolnik EM, Katz AH, Becker ST, Mantravadi R, Stall S (1980) Evolution of the clinically negative neck. Ann Otol 89:551–555

    Google Scholar 

  31. Snow GB, Annyas A, Van Slooten A, Bartelink H, Hart AAM (1982) Prognostic factors of neck node metastasis. Clin Otolaryngol 7:185–192

    CAS  PubMed  Google Scholar 

  32. Staffieri A (1976) Lo svuotamento funzionale laterocervicale. III. Resoconto statistico. Nuovo Arch Ital Otol Rinol Laringol 4:203–210

    Google Scholar 

  33. Suarez O (1963) El problema de las metastasis linfaticas y alejadas del cancer de laringe e hipofaringe.Rev Otorrinolaringol Santiago 23: 83–99

    Google Scholar 

  34. Suen JY, Goepfert H (1987) Standardization of neck dissection nomenclature. Head Neck Surg 18: 75–77

    Google Scholar 

  35. Suen JY, Wetmore SJ (1981) Cancer of the neck. In: Suen JY, Mayer EN (eds) Cancer of the head and neck. Churchill-Livingstone, New York, p 387

    Google Scholar 

  36. Tailhefer MA (1958) La legitimité du eurage ganglionnaire cervical systematique dans le cancer de la portion mobile de la langue. Mém Acad Chir 84:609–611

    Google Scholar 

  37. Teatini G, Zampano G (1976) Lo svuotamento funzionale latero-cervicale. I. Basi anatomiche. Nuovo Arch Ital Otol Rinol Laringol 4:159–176

    Google Scholar 

  38. Vandenbrouck C, Sancho Garnier H, Chassagne D, Saravane D, Cachin Y, Micheau C (1980) Elective vs. therapeutic radical neck dissection in epidermoid carcinoma of the oral cavity. Cancer 46:386–390

    Google Scholar 

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de Campora, E., Radici, M., Camaioni, A. et al. Clinical experiences with surgical therapy of cervical metastases from head and neck cancer. Eur Arch Otorhinolaryngol 251, 335–341 (1994). https://doi.org/10.1007/BF00171540

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  • DOI: https://doi.org/10.1007/BF00171540

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