When should a level IIB neck dissection be performed in treatment of head and neck squamous cell carcinoma?

Su, Bingjing; Moayer, Roxana; Kuan, Edward C.; John, Maie A. St.

doi:10.1002/lary.27053

Cited by 4 publications

(2 citation statements)

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“…The differences were statistically significant, and there was no case of isolated or contralateral metastasis at level IIb. These findings are in accordance with those of other studies [5, 6, 12, 17–19].…”

Section: Discussionsupporting

confidence: 94%

Relevance of Level IIb Neck Dissection in Patients with Head and Neck Squamous Cell Carcinomas

et al. 2019

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Background Cervical nodal metastasis is the most important prognostic factor in patients with head and neck cancers. Unfortunately, nodal dissection at level IIb carries a risk of damage to the spinal accessory nerve. We aimed to determine the prevalence of level IIb metastasis and the relevance of nodal dissection at level IIb in patients with head and neck squamous cell carcinomas. Methods During neck dissection, level IIb lymph nodes obtained from 181 patients with head and neck squamous cell carcinomas were removed, processed, and histopathologically examined. All specimens were divided into two groups according to the side (affected and unaffected sides). The number of dissected lymph nodes and prevalence of level IIb metastasis in each group were then determined and compared according to the preoperative clinical N stage (cN0 and cN+). Results The study included 158 men and 23 women with a median age of 65 years (range, 17–89 years). The prevalence of pathologically confirmed level IIb metastasis was 0% for clinically node‐negative (cN0) necks on the unaffected side and 10.34% for clinically node‐positive necks (cN+), with an overall prevalence of 2.4%. There was a significant association between clinically determined and pathologically confirmed node negativity at level IIb. Conclusion Our findings suggest that level IIb neck dissection in patients with head and neck squamous cell carcinomas may be required only if preoperative examination reveals multilevel or level IIa metastasis or suspicious level IIb metastasis.

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Section: Discussionsupporting

confidence: 94%

Relevance of Level IIb Neck Dissection in Patients with Head and Neck Squamous Cell Carcinomas

et al. 2019

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“…Evidence-based rehabilitation to maximise function post-operatively should also be part of modern practice. 7 A recently published survey, of nine regional centres across the UK, revealed that the provision of post-operative physiotherapy is not standardised; it is provided in the majority of centres only when significant dysfunction is found, and was not available at all in 11 per cent of centres. 8…”

Section: Introductionmentioning

confidence: 99%

Do patients benefit from physiotherapy for shoulder dysfunction following neck dissection? A systematic review

Harris

2020

J. Laryngol. Otol.

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ObjectiveAccessory nerve palsy affects a proportion of patients following neck dissection, and results in shoulder dysfunction and regional pain. This project aimed to establish the evidence supporting post-operative physiotherapy for the shoulder following neck dissection.MethodA systematic review was conducted of prospective trials investigating the efficacy of rehabilitation for shoulder or upper limb dysfunction and pain following any type of neck dissection.ResultsA total of 820 papers were identified; through a staged review process, 7 trials were found that fulfilled the inclusion criteria. These included three randomised, controlled trials and four non-randomised studies. Five out of the seven trials demonstrated a statistically significant benefit of physiotherapy.ConclusionCurrent evidence shows a benefit from physiotherapy in patients with shoulder dysfunction following neck dissection. Some evidence suggests progressive resistance is superior to other types of physiotherapy. Long-term benefit and cost efficacy have not been studied.

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Influence of Site, Size, Depth of Invasion and Histologic Grading on the Occurrence of Cervical Level IIb Metastasis and Extranodal Extension in Clinically N0 Neck of Patients with OSCC: A Single Center Retrospective Analysis

Bera

Singh²,

Tripathi³

et al. 2022

J. Maxillofac. Oral Surg.

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When should a level IIB neck dissection be performed in treatment of head and neck squamous cell carcinoma?

Cited by 4 publications

References 5 publications

Relevance of Level IIb Neck Dissection in Patients with Head and Neck Squamous Cell Carcinomas

Relevance of Level IIb Neck Dissection in Patients with Head and Neck Squamous Cell Carcinomas

Do patients benefit from physiotherapy for shoulder dysfunction following neck dissection? A systematic review

Influence of Site, Size, Depth of Invasion and Histologic Grading on the Occurrence of Cervical Level IIb Metastasis and Extranodal Extension in Clinically N0 Neck of Patients with OSCC: A Single Center Retrospective Analysis

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