The authors have no funding, financial relationships, or conflicts of interest to disclose.
Head and Neck
Postoperative morbidity after different types of selective neck dissection†
Version of Record online: 10 MAR 2010
Copyright © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 120, Issue 5, pages 924–929, May 2010
How to Cite
Teymoortash, A., Hoch, S., Eivazi, B. and Werner, J. A. (2010), Postoperative morbidity after different types of selective neck dissection. The Laryngoscope, 120: 924–929. doi: 10.1002/lary.20894
- Issue online: 21 APR 2010
- Version of Record online: 10 MAR 2010
- Manuscript Accepted: 2 FEB 2010
- Manuscript Revised: 1 FEB 2010
- Manuscript Received: 14 DEC 2009
- Selective neck dissection;
- functional and aesthetic results;
- head and neck cancer;
- N0 neck;
- Level of Evidence: 2a
Although selective neck dissection (SND) is an oncologically efficient procedure for the N0 neck, its functional results are discussed controversially. The aim of the present study was to analyze the frequency of morbidity related to SND.
Retrospective single-institution series.
The clinical data of 98 patients who had undergone unilateral SND of different dimensions and neck levels were analyzed. Radiotherapy was carried out in 37 (37.8%) patients. Functional and aesthetic results were evaluated in the context of aftercare consultation in 52 patients. The contralateral side of each patient served as the control. The mean follow-up period was 2.6 (0.5–9.1) years.
SND-related complications arose in two out of 50 patients (4%) with dissection of level IV in terms of an injury of the thoracic duct. Ten (19.2%) patients showed persistent slight lymph edema, and 34 (65.4%) patients noticed cervical incision sensibility disturbances after at least 6 months. Concerning head, neck, and shoulder function, no significant side differences were noticed by 31 (82%) patients for arm abduction, 32 (84%) for head rotation, and 30 (79%) for lateral head inclination. Subjectively, 50 (96.2%) patients had no restriction in head, neck, and shoulder movement after SND. Concerning the aesthetic results, only one (2%) patient was subjectively not satisfied.
SND of different dimensions and neck levels shows low incidence of surgical complications and acceptable functional and aesthetic results. Laryngoscope, 2010