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[Postoperative complications in patients with functional neck dissection]

J Cabra Dueñas1, A Moñux Martínez, J I de Diego Sastre

  • 1Hospital La Paz, Madrid.

Acta Otorrinolaringologica Espanola
|November 1, 1994
PubMed
Summary

Functional neck dissection (FND) for laryngeal cancer has a 43.07% complication rate, primarily local issues like infections and seromas. Most FND complications are manageable, with a low surgical fatality rate.

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Area of Science:

  • Otolaryngology
  • Surgical Oncology
  • Head and Neck Surgery

Context:

  • Laryngeal cancer treatment often involves surgical intervention, including functional neck dissection (FND).
  • Assessing complications is crucial for optimizing patient outcomes and surgical techniques.
  • Understanding the specific risks associated with FND in laryngeal cancer patients is essential.

Purpose:

  • To evaluate the spectrum and incidence of complications following functional neck dissection (FND) in patients with laryngeal cancer.
  • To analyze local and medical complications, post-operative sequelae, hospitalization duration, and fatality rates associated with FND.
  • To investigate the relationship between specific complications, such as pharyngocutaneous fistula, and wound healing issues.

Summary:

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  • This study analyzed 195 patients undergoing FND for laryngeal cancer, reporting an overall complication rate of 43.07%.
  • Common complications included wound infections (23.08%), wound dehiscence (17.95%), and serohematomas (19.90%).
  • The surgical fatality rate was 2.56%, with permanent sequelae in 4.24% of cases. Average hospitalization was 25.17 days.

    • Impact:

    • The findings highlight that while FND carries a notable complication rate, most issues are local and manageable.
    • Identifying associations between pharyngocutaneous fistula and wound complications may inform preventative strategies.
    • This research provides valuable data for surgeons to counsel patients and refine surgical protocols for laryngeal cancer treatment involving FND.