Image‐guided surgery in an occult neck metastasis

Mierzwa, K; Mueller, Andréas

doi:10.1002/hed.21118

Cited by 2 publications

(5 citation statements)

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“…The transoral approach is limited by the degree of mouth opening and dental anatomy. For this reason, its main indication is a lesion that is located below the level of the hard palate and the pterygoid hamulus 3. In our first case presented above, the retropharyngeal lymph node (RPLN) was located below this level and was accessed by transoral approach.…”

Section: Discussionmentioning

confidence: 97%

“…Surgical approaches to the RFS are classified as transcervical or transoral 2. The transcervical approach entails various complications 3. The transoral approach has recently been reported as minimally invasive and providing easy access to the RFS.…”

Section: Discussionmentioning

confidence: 99%

“…The transoral approach has recently been reported as minimally invasive and providing easy access to the RFS. However, the conventional transoral approach has certain disadvantages, such as an inadequate surgical field and view as well as disturbance of the surgeon’s depth perception 3…”

Section: Discussionmentioning

confidence: 99%

“…The navigation system is useful for ensuring precise surgical orientation. The RPS is an appropriate area for the use of a navigation system because it is less susceptible to mobility caused by neck extension than other laryngopharyngeal regions 3. The transoral approach is limited by the degree of mouth opening and dental anatomy.…”

Section: Discussionmentioning

confidence: 99%

“…We only found a few reports in the literature regarding the use of an imaging-guided navigation system in the surgical access to the RPS. Mierzwa et aI reported a case of surgical resection of an RPLN metastasis of a tonsil carcinoma3 and Tanaka et aI reported a case of excision of an RPLN metastasis of the tongue 1…”

Section: Discussionmentioning

confidence: 99%

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Navigation-guided biopsy of retropharyngeal lymph nodes

et al. 2019

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The impact of metastasis to the retropharyngeal lymph node group is poorly understood because of the difficult access to the retropharyngeal space (RPS). In 20%–50% of surgically treated oropharyngeal, hypopharyngeal, and cervical oesophageal carcinomas, we can find metastases to the retropharyngeal lymph nodes (RPLNs). 1 The use of a three-dimensional (3D)-imaging-guided navigation system to perform a biopsy for a suspicion of metastasis in an RPLN can provide advantages in terms of better precision and 3D orientation with protection of the surrounding critical structures. We report two cases of an open biopsy by transoral and transnasal approaches for a suspicion of metastasis in a retropharyngeal lymph node in two patients with oropharyngeal and pulmonary cancer, respectively, by using the 3D imaging-guided navigation system. In the both cases, the biopsies performed were very accurate and allowed to get a full histological analysis and diagnosis. The use of the navigation system as a means to perform biopsies in the soft tissue of the neck is rarely reported and up to date few reports can be found in the literature. This technique can provide multiple advantages when compared with other conventional methods. The procedure is simple, safe and minimally invasive.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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