Oncologic safety of cervical nerve preservation in neck dissection for head and neck cancer

被引：4

作者：

Honda, Keigo ^{[1
]}

Asato, Ryo ^{[2
]}

Tsuji, Jun ^{[2
]}

Miyazaki, Masakazu ^{[2
]}

Kada, Shinpei ^{[2
]}

Tsujimura, Takashi ^{[2
]}

Kataoka, Michiko ^{[2
]}

机构：

[1] Japanese Red Cross Hosp, Dept Otolaryngol, Wakayama Med Ctr, Komatsubaradori 4-20, Wakayama, Wakayama, Japan

[2] Kyoto Med Ctr, Natl Hosp Org, Dept Head & Neck Surg, Otolaryngol, Kyoto, Japan

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2017年 / 39卷 / 09期

关键词：

cervical nerve; head and neck cancer; neck dissection; oncologic safety; preservation; SPINAL ACCESSORY NERVE; TRAPEZIUS MUSCLE; SHOULDER PAIN; PLEXUS; INNERVATION;

D O I：

10.1002/hed.24826

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background: Although the functional merits of preserving cervical nerves in neck dissection for head and neck cancer have been reported, the oncologic safety has not yet been determined. Therefore, the purpose of this study was to evaluate the safety of cervical nerve preservation. Methods: A retrospective chart review was performed on patients with head and neck cancer who had been treated by neck dissection between 2009 and 2014 at Kyoto Medical Center. Management of cervical nerves and clinical results were analyzed. Results: A total of 335 sides of neck dissection had been performed in 222 patients. Cervical nerves were preserved in 175 neck sides and resected in 160 sides. The 5-year overall survival (OS) rate calculated by the Kaplan-Meier method was 71%. The 5-year neck control rate was 95% in cervical nerve preserved sides and 89% in cervical nerve resected sides. Conclusion: Preserving cervical nerves in neck dissection is oncologically safe in selected cases.

引用

页码：1751 / 1755

页数：5

共 50 条

[31] Preliminary results of pre-radiation neck dissection in head and neck cancer patients undergoing organ preservation treatment
Jeong, Woo-Jin
Jung, Eun-Jung
Hah, J. Hun
Kwon, Tack-Kyun
Wu, Hong-Gyun
Heo, Dae Seog
Sung, Myung-Whun
Kim, Kwang Hyun
ACTA OTO-LARYNGOLOGICA, 2007, 127 : 121 - 127
[32] Radiotherapy followed by neck dissection for small head and neck cancers with advanced cervical metastases
Wang, SJ
Wang, MB
Calcaterra, TC
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1999, 108 (02): : 128 - 131
[33] Adherence to a shoulder dysfunction physical therapy protocol after neck dissection with accessory nerve preservation in head-and-neck cancer patients: An uncontrolled clinical trial
Mozzini, Carolina Barreto
Rodrigues, Telma Ribeiro
Bergmann, Anke
Roussenq, Suellen Cristina
Kowalski, Luis Paulo
Carvalho, Andre Lopes
INTERNATIONAL JOURNAL OF HEALTH SCIENCES-IJHS, 2022, 16 (04): : 22 - 29
[34] How, when, and from whom neck dissection operative technique is learned: An international survey on neck dissection education among head and neck oncologic surgeons
Hemmat, Shirin
Wang, Steven J.
Ryan, William R.
AMERICAN JOURNAL OF OTOLARYNGOLOGY, 2016, 37 (05) : 431 - 435
[35] Electrosurgical dissection against head and neck cancer
Fukazawa, H
Ohashi, Y
Goepfert, H
3RD ASIAN CONGRESS ON ORAL AND MAXILLOFACIAL SURGERY, 1996, : 463 - 466
[36] Prophylactic neck dissection for head and neck melanoma
Fisher, SR
HEAD AND NECK CANCER, VOL 4, 1996, : 831 - 836
[37] Handling of neck dissection in head and neck tumours
Baglin, Anne-Catherine
ANNALES DE PATHOLOGIE, 2009, 29 (04) : 361 - 364
[38] RADICAL NECK DISSECTION IN CARCINOMA OF HEAD AND NECK
KERTH, JD
SISSON, GA
BECKER, GD
SURGICAL CLINICS OF NORTH AMERICA, 1973, 53 (01) : 179 - 190
[39] Head and neck cancer: From the radical neck dissection (RND) to the selective (SND) and radical modified neck dissection (RMND)
Luboinski, B
Mamelle, G
Bosq, J
EUROPEAN JOURNAL OF CANCER, 1999, 35 : S383 - S383
[40] BILATERAL RADICAL CERVICAL DISSECTION FOR MALIGNANT LESIONS OF THE HEAD AND NECK
BEAHRS, OH
JORDAN, GL
PROCEEDINGS OF THE STAFF MEETINGS OF THE MAYO CLINIC, 1952, 27 (23): : 449 - 454

← 1 2 3 4 5 →