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Neck dissection after twice-a-day radiotherapy: Morbidity and recurrence rates

✍ Scribed by Dr. James T. Parsons; William M. Mendenhall; Nicholas J. Cassisi; Scott P. Stringer; Rodney R. Million

Publisher
John Wiley and Sons
Year
1989
Tongue
English
Weight
410 KB
Volume
11
Category
Article
ISSN
1043-3074

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✦ Synopsis

Between March 1978 and April 1986, 56 patients underwent planned unilateral, and five patients underwent planned bilateral, radical neck dissections following high-dose twice-a-day radiotherapy, usually with 'OCo. Neck dissections were generally performed 6 weeks after radiotherapy. The overall rate of control of disease in the neck in an 61 patients was 81% at 5 years. Patients who underwent neck dissections following radiotherapy had significantly higher rates of neck-disease control than patients treated by radiotherapy alone during the same time period for stages N2A-N3A and N2B-N3B, but not for N1 disease. No carotid ruptures or fatal complications occurred. The rate of wound complications was judged to be acceptable. HEAD & NECK 11:490-404,1989 O n e commonly employed treatment strategy at our institution, for patients with moderately advanced and advanced squamous cell carcinoma of the head and neck, is to treat the primary lesion with radical radiotherapy (with curative intent), followed by neck dissection 4-6 weeks later for patients with advanced or unresponsive neck dis-From the Department of Radiation Oncology (Drs Parsons, Mendenhall, and Million) and Division of Otolaryngology (Drs Cassisi and Stringer),

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