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Posterolateral neck dissection

H Goepfert, R H Jesse, A J Ballantyne

Archives of Otolaryngology (Chicago, Ill. : 1960)

|October 1, 1980

Summary

This summary is machine-generated.

Postauricular, suboccipital, and posterior triangle neck dissection is effective for posterior scalp and neck cancers. This regional procedure shows a low recurrence rate with minimal functional and cosmetic issues in selected patients.

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Area of Science:

Surgical Oncology
Head and Neck Surgery
Dermatologic Surgery

Background:

Malignant melanoma and squamous cell carcinoma of the posterior scalp and neck require effective surgical management.
Neck dissection is a critical component in the oncologic treatment of these head and neck cancers.
The posterior triangle neck dissection specifically addresses tumors located behind the coronal plane of the tragus.

Observation:

A review of 17 patients undergoing postauricular, suboccipital, and posterior triangle neck dissection was conducted.
The procedure was performed bilaterally in five patients with midline primary lesions.
Patient charts were analyzed for recurrence rates and functional/cosmetic outcomes.

Findings:

The regional neck dissection demonstrated a low rate of recurrence in the neck.

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The procedure resulted in the absence of moderate or severe functional sequelae.

Cosmetic outcomes were generally favorable, with no significant adverse effects reported.

Implications:

Postauricular, suboccipital, and posterior triangle neck dissection is a sound surgical option for carefully selected patients with posterior scalp and neck malignancies.
This approach offers a favorable balance between oncologic control and patient quality of life, minimizing functional and cosmetic deficits.
Further research may explore expanded indications and long-term outcomes for this specific neck dissection technique.