The role of comprehensive neck dissection with preservation of the spinal accessory nerve in the clinically positive neck

Andersen, Peter E.; Shah, Jatin P.; Cambronero, Efrain; Spiro, Ronald H.

doi:10.1016/s0002-9610(05)80110-2

Cited by 100 publications

(53 citation statements)

References 14 publications

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“…Additionally a modified neck dissection preserving the N. XI in a clinical positive neck does not adversely affect survival and neck control. 21 A weakness of this study is the considerable amount of missing data, which in part can be attributed to incompleteness of the medical files. For instance, quite often it could not be found in the surgery reports whether the cervical plexus was preserved or not.…”

Section: Discussionmentioning

confidence: 95%

Incidence of shoulder pain after neck dissection: A clinical explorative study for risk factors

Dijkstra¹,

Wilgen²,

et al. 2001

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BackgroundIt is the purpose of this study to determine the incidence of shoulder pain and restricted range of motion of the shoulder after neck dissection, and to identify risk factors for the development of shoulder pain and restricted range of motion.MethodsClinical patients who underwent a neck dissection completed a questionnaire assessing shoulder pain. The intensity of pain was assessed using a visual analog scale (100 mm). Range of motion of the shoulder was measured. Information about reconstructive surgery and side and type of neck dissection was retrieved from the medical records.ResultsOf the patients (n = 177, mean age 60.3 years [SD, 11.9]) 70% experienced pain in the shoulder. Forward flexion and abduction of the operated side was severely reduced compared to the non‐operated side, 21° and 47°, respectively. Non‐selective neck dissection was a risk factor for the development of shoulder pain (9.6 mm) and a restricted shoulder abduction (55°). Reconstruction was risk factor for a restricted forward flexion of the shoulder (24.5°).ConclusionsShoulder pain after neck dissection is clinically present in 70% of the patients. Non‐selective neck dissection is a risk factor for shoulder pain and a restricted abduction. Reconstruction is a risk factor for a restricted forward flexion of the shoulder. © 2001 John Wiley & Sons, Inc. Head Neck 23: 947–953, 2001.

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Section: Discussionmentioning

confidence: 95%

Incidence of shoulder pain after neck dissection: A clinical explorative study for risk factors

Dijkstra¹,

Wilgen²,

et al. 2001

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“…The management of regional lymph nodes in the neck is important because of the decrease in the overall survival approximately 50% (Andersen et al 1994). With the exception of distant metastases, the presence of cervical lymph node metastasis is the single most adverse independent prognostic factor in the head and neck SCC (Suen and Stern 1996).…”

Section: Discussionmentioning

confidence: 99%

Expression of cathepsin D and E-cadherin in primary laryngeal cancers correlation with neck lymph node involvement

Paksoy¹,

Hardal²,

Çakır³

2011

J Cancer Res Clin Oncol

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Objective The aim of this study was to investigate the relation between Cathepsin D (Cath-D) and E-Cadherin (E-Cad) expression levels in tumor tissue and neck lymph node metastasis. This attempt should be made to identify new factors that one could be useful in predicting clinical behavior. Study design In this study, we investigated rates of dying for E-Cad and Cath-D in paraphin blocks of larynx and neck dissection specimens taken from 56 selected patients. Laryngeal specimens dyed by ECad and Cath-D immunohistochemically. Immunoreactivity classiWed for E-Cad as positive (75% and above), reduced (25-75%) and negative (below 25%). Immunoreactivity classiWed for Cath-D:dye absorption rates higher than 50% evaluated positive and absorption rates lower than 50% evaluated negative. We compared the rates of dying for E-Cad and Cath-D groups to with or without neck lymph node metastasis in specimens. Results Neck metastasis were found in 41% of patients, in 55.6% of patients, if the E-Cad was negative, 40.6% if it was reduced, 33.3% if it was positive in specimens. The neck metastasis was found in 35.4% of patients with Cath-D expression negative, while 75% of patients was found with Cath-D expression positive. Conclusion Neck metastasis was found higher in E-Cad reduced group than positive group. Neck node metastasis was signiWcantly higher in Cath-D positive group than Cath-D negative group. Cath-D and E-Cad essays may useful in identifying neck lymph node involvement. Cath-D expression levels are more in this predictive factor than E-Cad levels for possibility of neck lymph node metastasis in LSCC.

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“…The oncological safety of this procedure has been demonstrated by various studies. Anderson et al established that the SAN can be preserved in the clinically positive neck if the nerve is not involved or enveloped by metastatic disease [6]. This procedure avoids the "Shoulder Syndrome".…”

Section: Discussionmentioning

confidence: 99%

Preservation of Spinal Accessory Nerve during Radical Neck Dissection

Nilakantan

2006

Medical Journal Armed Forces India

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The role of comprehensive neck dissection with preservation of the spinal accessory nerve in the clinically positive neck

Cited by 100 publications

References 14 publications

Incidence of shoulder pain after neck dissection: A clinical explorative study for risk factors

Incidence of shoulder pain after neck dissection: A clinical explorative study for risk factors

Expression of cathepsin D and E-cadherin in primary laryngeal cancers correlation with neck lymph node involvement

Preservation of Spinal Accessory Nerve during Radical Neck Dissection

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