This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

W. Jarrard Goodwin, Jr, MD; J. Ryan Chandler, MD

Arch Otolaryngol. 1978;104(7):367-370.

Abstract
• The recent trend has been away from elective neck dissection in the management of patients with cancer of the head and neck. In addition, improved techniques of radiation therapy have demonstrated their capacity to eliminate and sterilize occult and even frank neck metastases.

An unselected series of 409 radical neck dissections performed in 357 patients in a period of eight years has been critically reviewed to determine the incidence of microscopically negative nodes in patients who were previously radiated for cure and in whom a neck dissection had been performed as a part of the surgical procedure.

Findings and results support our current position that a neck dissection in the presence of clinically negative nodes, particularly when they were never previously present, need not be included in the surgical procedure designed to salvage patients following radiation failure. Because of the documented increase of postoperative complications following such surgery, the decrease in morbidity and mortality seems to justify this policy.

(Arch Otolaryngol 104:367-370, 1978)

Author Affiliations
From the Department of Otolaryngology, University of Miami School of Medicine and the Veterans Administration Hospital, Miami. Dr Goodwin is now with Clark Air Force Base, Manila, Philippines.

Footnotes
Accepted for publication Nov 24, 1977.

Presented at the meeting of the American Society for Head and Neck Surgery, Boston, May 11-12, 1977.

Reprint requests to Department of Otolaryngology, University of Miami School of Medicine, PO Box 520875, Miami, FL 33152 (Dr Chandler).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Recurrence Rates After Selective Neck Dissection in the N0 Irradiated Neck
Fritz et al.
Arch Otolaryngol Head Neck Surg 2002;128:292-295.
ABSTRACT | FULL TEXT  

Complications From Planned, Posttreatment Neck Dissections
Davidson et al.
Arch Otolaryngol Head Neck Surg 1999;125:401-405.
ABSTRACT | FULL TEXT  

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  

Otolaryngology
Bailey
JAMA 1980;243:2203-2205.
ABSTRACT