✦ LIBER ✦

Bilateral radical neck dissection: Report of results in 55 patients

✍ Scribed by Chae Ahn; Dr. William F. Sindelar

Publisher: John Wiley and Sons
Year: 1989
Tongue: English
Weight: 297 KB
Volume: 40
Category: Article
ISSN: 0022-4790
DOI: 10.1002/jso.2930400410

No coin nor oath required. For personal study only.

✦ Synopsis

Between 1952 and 1982, 55 patients underwent bilateral radical neck dissections at the National Cancer Institute. Of these, 17 patients had simultaneous (one-stage) bilateral dissections and 38 had nonsimultaneous (two-stage) dissections. In 37 patients both internal jugular veins were removed, while one vein was preserved in 18 patients. The operative mortality was 1 1.8% (2/17 patients) for simultaneous bilateral neck dissections and 2.6% (1/38 patients) for nonsimultaneous staged dissections. The overall operative mortality was 5.4%. Of the 18 patients in whom one jugular vein was preserved, six patients (33%) had postoperative facial edema and swelling, while of the 37 patients in which neither jugular vein was saved, 20 patients (54%) developed significant postoperative facial edema. The overall 2-year recurrence rate was 50%. The overall survival rates were 55% at 3 years and 39% at 5 years.

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