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>Journals >Cirugía y Cirujanos >Year 2018, Issue 4


Gallegos-Hernández JF
Transverse incision in radical neck dissection
Cir Cir 2018; 86 (4)

Language: Español
References: 11
Page: 308-312
PDF: 271.00 Kb.


Full text




ABSTRACT

Background: Radical neck dissection is the only way to stage patients with neoplasms at risk of lymph node metastases; various types of incisions have been made throughout history, the goal: to obtain sufficient exposure to allow complete resection of the nodal groups at risk. It is important to combine oncological safety with adequate aesthetics, functionality and quality of life.Methods: Retrospective evaluation of the result obtained with the transverse neck incision in patients submitted to radical neck dissection, the parameter used to know if this incision is adequate is the number of dissected lymph nodes. Results: There are 35 patients, 30 with metastasis of squamous cell carcinoma and 5 with melanoma metastasis. The average of dissected lymph nodes was 25. A single incision allowed the dissection of the five nodal levels, it was not necessary to convert the incision or make vertical enlargements; the cosmetic result was satisfactory in all patients, there were no major complications. Conclusion: The unique transverse cervical incision allows access to the five cervical levels, it can be enlarged bilaterally; in the present series, the mean number of dissected lymph nodes was 25 enough to consider the procedure as complete. The aesthetic result was satisfactory.


Key words: Neck dissection, Transverse incision, Radical neck dissection, Node metastasis.


REFERENCIAS

  1. Crile G. Excision of cancer of the head and neck, with special reference to the plan of dissection based on 132 patients. JAMA.1906;47:1780-6.

  2. Martin H, Del Valle B, Ehrlich H, Cahan WG. Neck dissection. Cancer. 1951;4:441-9.

  3. Gallegos-Hernández JF, Martínez-Gómez H, Flores-Díaz R. La disección radical de cuello en el cáncer de vías aero-digestivas superiores (VADS). Indicaciones, extensión y radicalidad. Cir Cir. 2002;70:369-76.

  4. Song CM, Ji YB, Kim IS, Lee JY, Kim DS, Tae K. Low transverse incision for lateral neck dissection in patients with papillary thyroid cancer: improved cosmesis. World J Surg Oncol. 2017;15:97.

  5. Durán-Briones G, Gallegos-Hernández JF, Rendón-Arroyo ME, Hernández- Hernández DM. Tiempo de drenaje en pacientes sometidos a disección radical de cuello. La influencia de la perfusión de líquidos en el periodo peri-operatorio. Gac Med Mex. 2011;147:5-11.

  6. Paleri V, Urbano TG, Mehanna H, Repanos C, Lancaster J, Roques T, et al. Management of neck metastases in head and neck cancer: United Kingdom National Multidisciplinary Gidelines. J Laryngol Otol. 2016;130:S161-9.

  7. Chagas JF, Pascoal MB, Aquino JL, Brandi LA, Previtale EV, Trillo AS, et al. Single transverse extended incision for radical neck dissection. Rev Col Bras Cir. 2016;43:270-5.

  8. Guillier D, Moris V, Al Hindi AA, Rem K, Chatel H, See LA, et al. Surgical approaches in neck dissection: comparing functional, oncologic and aesthetic aspects of transverse cervicotomy to Paul André’s approach. Ann Chir Plast Esthet. 2018;63:140-7.

  9. Magrin J, Kowalski LP, Correia LMC. Esvaziamentos cervicais. En: Kowalski LP, editor. Afecções cirúrgicas do pescoço. São Paulo: Atheneu; 2005. p. 183-99.

  10. Gane EM, Michaleff ZA, Cottrell MA, McPhail SM, Hatton AL, Paniza BJ, et al. Prevalence, incidence and risk factors for shoulder and neck dysfunction after neck dissection: a systemic review. Eur J Surg Oncol. 2017;43:1199-218.

  11. Kim RY, Ward BB, Brockhoff HC 2nd, Helman JI, Braun TM, Skouteris CA. Correlation of lymph node density with negative outcome predictors in oral and maxillofacial squamous cell carcinoma. J Oral Maxillofac Surg. 2016;74:2081-4.






>Journals >Cirugía y Cirujanos >Year 2018, Issue 4
 

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