 |
|
Radical Neck Dissection: Elective, Therapeutic, and Secondary
J. G. Lee, MD;
Charles J. Krause, MD
Arch Otolaryngol. 1975;101(11):656-659.
Abstract
• The effectiveness of elective en bloc, therapeutic en bloc, and secondary radical neck dissections is evaluated in patients whose primary tumor remained controlled following initial treatment (surgery, irradiation, or combined therapy). Pathologically documented cervical involvement following elective en bloc, therapeutic en bloc, and secondary radical neck dissections occurred in 80 (27%) of 295, 158 (67%) of 237, and 77 (75%) of 102 of the patients, respectively.
Patient survival is greater if cervical metastases are surgically removed while occult, rather than if they are resected after they are clinically suspected. Patients who have a 15% to 20% or greater likelihood of having occult cervical metastases will have an increased probability for survival if the surgical management includes an elective en bloc radical neck dissection.
(Arch Otolaryngol 101:656-659, 1975)
Author Affiliations
From the Department of Otolaryngology and Maxillofacial Surgery, University of Iowa, Iowa City, Iowa.
Footnotes
Accepted for publication July 7, 1975.
Read before the 17th annual meeting of the American Society for Head and Neck Surgery, Atlanta, April 10, 1975.
Reprint requests to 104 E Northwood St, Greensboro, NC 27401 (Dr Lee).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Use of Decision Analysis in Planning a Management Strategy for the Stage NO Neck
Weiss et al.
Arch Otolaryngol Head Neck Surg 1994;120:699-702.
ABSTRACT
Indications for Radical Neck Dissection Following Radiation Therapy
Goodwin and Chandler
Arch Otolaryngol Head Neck Surg 1978;104:367-370.
ABSTRACT
|
