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Related Experiment Videos

Bilateral radical neck dissections

W F McGuirt, B F McCabe

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |July 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Radical neck dissection for head and neck cancer can be performed bilaterally. Staged bilateral dissections showed fewer complications, supporting aggressive surgical therapy for bilateral metastases.

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    Area of Science:

    • Oncology
    • Surgical Oncology
    • Head and Neck Surgery

    Background:

    • Radical neck dissection is a key procedure for head and neck cancer.
    • Bilateral neck dissection is performed in a subset of patients.
    • Understanding complication rates is crucial for treatment decisions.

    Purpose of the Study:

    • To evaluate complication rates associated with bilateral radical neck dissection.
    • To compare staged vs. simultaneous bilateral neck dissection outcomes.
    • To assess the safety of aggressive surgical approaches for bilateral metastases.

    Main Methods:

    • Retrospective review of 697 patients undergoing radical neck dissection.
    • Analysis of 91 patients who underwent bilateral radical neck dissection.

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  • Comparison of complication rates across staged, simultaneous, and delayed second neck dissections.

    • Main Results:

    • No operative deaths were recorded.
    • Staged second neck dissections had the lowest complication rate (17 patients).
    • Simultaneous bilateral dissections had higher overall complication rates than staged or delayed, but comparable surgical complication rates.

    Conclusions:

    • Aggressive surgical therapy, including staged or simultaneous bilateral neck dissection, is supported for patients with bilateral metastases.
    • The 5-year survival rate of 55% (alive or died of unrelated causes) supports the efficacy of these aggressive approaches.
    • Surgical complication rates were comparable across different bilateral neck dissection timings.