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Updated: Sep 19, 2025
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Incidence of contralateral cervical metastasis in laryngeal tumors
Arthur Paredes Gatti1, Juliana Cristina Pacheco1, Nicolas Galat Ahumada1
1Universidade Federal de São Paulo (UNIFESP), Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.
Objective:
To evaluate if patients with laryngeal SCC homolateral cN+ and contralateral cN- should be submitted to bilateral neck dissection.
Methods:
The team reviewed medical records from 135 patients with a diagnosis of laryngeal malignancy between March/2009 and September/2017, analyzing gender, age, tobacco and alcohol comsumption, primary tumor site, neck dissection laterality, clinical and pathological contralaterality, staging, tumor recurrence or late metastasis and survival RESULTS: We observed that 40.74% were pN+ on at least one side after neck dissection, which 87.27% performed bilateral neck dissection. Of these, 66.67% did not have contralateral metastasis, 87.5% had no previously clinically evident metastasis.
Conclusion:
Patients contralateral cN- have a risk <20% for occult metastasis and should not routinely go through bilateral neck dissection.
Level Of Evidence:
Level III.
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