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[Bilateral neck dissections].

C Stankiewicz1, B Kowalska, B Mikaszewski

  • 1Katedra i Klinika Chorób Uszu, Nosa, Gardła i Krtani AM w Gdańsku.

Otolaryngologia Polska = the Polish Otolaryngology
|September 7, 2000
PubMed
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Bilateral neck dissection is frequently indicated for laryngeal carcinoma due to lymphatic system structure. This study supports one-stage bilateral neck dissection as a standard treatment, especially with bilateral nodal metastases.

Area of Science:

  • Oncology
  • Head and Neck Surgery
  • Anatomy

Context:

  • The lymphatic drainage of the larynx can lead to bilateral neck metastases in laryngeal carcinoma patients.
  • Bilateral neck dissection is often a necessary surgical procedure for these patients.
  • Assessing the frequency and indications for one-stage bilateral neck dissection is crucial for treatment planning.

Purpose:

  • To evaluate the frequency and indications for one-stage bilateral neck dissection in patients with laryngeal carcinoma.
  • To analyze the long-term survival outcomes based on the laterality of nodal metastases.
  • To determine if one-stage bilateral neck dissection should be a standard treatment protocol.

Summary:

  • A study of 252 laryngeal carcinoma patients treated between 1976-1985 assessed the need for bilateral neck dissection.

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  • Bilateral neck dissections were performed in 20% of patients (50 out of 252).
  • Nodal metastases were present in 29 of the 50 patients, with 17 having bilateral involvement.

    • Impact:

    • The study found 5-year survival rates of 23.5% for patients with bilateral metastases and 42.3% for those with unilateral metastases.
    • These findings suggest that one-stage bilateral neck dissection should be considered a standard treatment option for many laryngeal carcinoma cases.
    • This approach may improve treatment efficacy and patient outcomes in managing laryngeal cancer with potential bilateral spread.