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European Archives of Oto-Rhino-Laryngology

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01-05-2016 | Head and Neck

The impact of surgical technique on neck dissection nodal yield: making a difference

Authors: Balazs B. Lörincz, Felix Langwieder, Nikolaus Möckelmann, Susanne Sehner, Rainald Knecht

Published in: European Archives of Oto-Rhino-Laryngology | Issue 5/2016

Abstract

The nodal yield of neck dissections is an independent prognostic factor in several types of head and neck cancer. The authors aimed to determine whether the applied dissection technique has a significant impact on nodal yield. This is a single-institution, prospective study with internal control group (level of evidence: 2A). Data of 150 patients undergoing 223 neck dissections between February 2011 and March 2013 have been collected in a comprehensive cancer centre. Eighty-two patients underwent neck dissection with unwrapping the cervical fascia from lateral to medial, while 68 patients were operated without specifically unwrapping the fascia, in a caudal to cranial fashion. The standardised, horizontal neck dissection technique along the fascial planes resulted in a significantly higher nodal count in Levels I, II, III and IV, as well as in terms of overall nodal yield (mean: n = 22.53) than that of the vertical dissection applied in the control group (mean: n = 15.00). This is the first publication showing a direct correlation between neck dissection nodal yield and surgical technique. Therefore, it is paramount to optimise the applied surgical concept to maximise the oncological benefit.

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Title: The impact of surgical technique on neck dissection nodal yield: making a difference
Authors: Balazs B. Lörincz
Felix Langwieder
Nikolaus Möckelmann
Susanne Sehner
Rainald Knecht
Publication date: 01-05-2016
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 5/2016
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-015-3601-1

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