Related Experiment Video
Updated: Aug 28, 2025
05:12
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
3.9K
Complications in lymph node excision in the head and neck area.
Minna Rehell1, Timo Atula1, Laura K Tapiovaara1
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Acta Oto-Laryngologica
|September 15, 2022
Summary
Lymph node excision (LNE) complications are rare and mostly minor, with a 5.9% rate in this study. Preoperative needle biopsies can help avoid unnecessary LNE, especially for non-lymphoma cases.
Area of Science:
- Surgical pathology
- Oncology
- Diagnostic procedures
Background:
- Lymph node excision (LNE) is crucial for lymphoma diagnosis, but it is invasive and carries risks.
- Comprehensive data on LNE complications are limited.
- Needle biopsy is a common preliminary diagnostic tool for lymphadenopathy.
Purpose of the Study:
- To evaluate the role of preoperative needle biopsies in patients undergoing LNE.
- To analyze the spectrum and incidence of surgical complications associated with LNE.
Main Methods:
- Retrospective analysis of 321 patients who underwent LNE between 2018-2019.
- Data collected from electronic patient records.
- Complications classified using the Clavien-Dindo scale.
Main Results:
- The overall surgical complication rate following LNE was 5.9%.
- The majority of complications (84.2%) were minor (Clavien-Dindo I-II).
- Three major complications (15.8%), all hemorrhages, required intervention.
Conclusions:
- Surgical complications after head and neck LNE are infrequent and predominantly minor.
- Preoperative needle biopsy can potentially obviate the need for LNE in select cases.
- Needle biopsy is recommended to prevent unnecessary LNE, particularly for non-lymphatic malignancies.
More Related Videos
Related Concept Videos
01:19Veins of Head and Neck
2.6K
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
2.6K
01:23Detailed Structure and Function of Lymph Nodes
2.2K
Lymph nodes are bean-shaped structures that cluster along the lymphatic vessels in the inguinal, axillary, and cervical regions. Each node is divided into compartments by a capsule that extends trabeculae inward.
From a histological perspective, lymph nodes can be split into two main areas: the superficial cortex and the deep medulla. The outer cortex is populated by dendritic cells, macrophages, and B lymphocytes, which are densely packed into follicles. When these B-lymphocytes are presented...
From a histological perspective, lymph nodes can be split into two main areas: the superficial cortex and the deep medulla. The outer cortex is populated by dendritic cells, macrophages, and B lymphocytes, which are densely packed into follicles. When these B-lymphocytes are presented...
2.2K
01:26Arteries of the Head and Neck
1.7K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
1.7K