Gallegos-Hernández JF, Ramos-Macías ML

Language: Spanish
References: 11
Page: 15-21
PDF size: 388.96 Kb.

ABSTRACT

Background: The type of cervical incision in neck dissection is essential to obtain adequate exposure of node levels, perform lymph node resection, decrease cervical recurrence rate and adequately stage patients with neoplasms in the head and neck area. Currently it is important to achieve a balance between these objectives and the functionality, aesthetics and quality of life of the patient; the transverse cervical incision achieves this balance.
Objective: To evaluate the oncological and aesthetic-functional results of patients undergoing neck dissection with this approach, to evaluate the number of dissected lymph nodes, the sequelae of the intervention and cosmetic satisfaction.
Material and Method: A retrospective analysis of records of patients submitted to radical dissection of neck modified by unique uni or bilateral transverse cervical incision performed in a period of two years (between 2015 and 2016).
Results: Forty patients were included; 35 with squamous cell carcinoma and 5 with cutaneous melanoma. 28 dissections were elective (cN0) and 12 therapeutic (cN+). The average of dissected lymph nodes was 28. In 7 the dissection was bilateral, in none the incision was combined with vertical prolongation; there were no major complications and the aesthetic result was considered satisfactory in all patients.
Conclusion: Transverse incision is an approach that allows adequate exposure of the 5 node levels, dissection of a sufficient number of nodes and satisfactory aesthetic-functional result.

REFERENCES

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