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Five-Year Results of Functional Neck Dissection for Cancer of the Larynx

Five-Year Results of Functional Neck Dissection for Cancer of the Larynx Abstract • Two hundred forty-two patients with a diagnosis of epidermoid carcinoma of the larynx were studied. All of them underwent surgery. One hundred sixty-one patients underwent functional neck dissection, with a total of 206 performed. Thirty-three patients underwent classic radical neck dissection, with a total of 35 performed. The overall 5-year neck tumor recurrence rate in the necks with functional neck dissection was 3.4%. Recurrences developed in 5.7% of fields protected by radical neck dissection. The overall recurrence rate in the surgically unprotected necks was 6.2%. Our results confirm that functional neck dissection is the procedure of choice in cases with NO disease and in cases with mobile nodes. From the oncologic viewpoint, functional neck dissection is a safe technique to treat the cervical spread from cancer of the larynx as long as its indications and technical characteristics are carefully observed. (Arch Otolaryngol Head Neck Surg. 1989;115:1193-1196) References 1. Suárez O. Le problème chirurgical du cancer du larynx . Ann Oto-Laryngol . 1962; 79:22-34. 2. Suárez O. El problema de las metástasis linfáticas y alejadas del cáncer de laringe e hipofaringe . Rev Otorrinolaringol Santiago . 1963;23:83-99. 3. Silvestre-Begnis C. Consideraciones sobre el problema del tratamiento quirúrgico de los ganglios en los cánceres de la laringe . Actas II Congreso Sudamericano ORL . Montevideo, Uruguay: 1944. 4. Bocca E, Pignataro O. A conservation technique in radical neck dissection . Ann Otol Rhinol Laryngol . 1967;76:975-988. 5. Gavilán C, Blanco A, Suárez O. El vaciamiento funcional-radical cervicoganglionar: anatomía quirúrgica, técnica y resultados . Acta Otorhinolaryngol Iber-Am . 1972;23:703-817. 6. André P, Laccourreye H, Haguet JF, Beauvillain C, Henin JM, Aubert JD. Comparaison des résultats carcinologiques à long terme entre les évidements cervicaux radicaux et conservateurs . Ann Oto-Laryngol 1975;92:113-126. 7. Baredes S, Nussbaum M, Som ML. The role of supraomohyoid neck dissection at the time of supraglottic laryngectomy . Laryngoscope . 1985;95:151-155.Crossref 8. Becker GD, Parell GJ. Technique of preserving the spinal accessory nerve during radical neck dissection . Laryngoscope . 1979;89:826-831. 9. Schuller DE, Platz CE, Krause CJ. Spinal accessory lymph nodes: a prospective study of metastatic involvement . Laryngoscope . 1978; 88:439-450.Crossref 10. Tomás MD, Gavilán C, Gavilán J. Functional neck dissection in cancer of the larynx . In: Myers E, ed. New Dimensions in Otorhinolaryngology—Head and Neck Surgery . Amsterdam, the Netherlands: Elsevier Science Pulishers; 1985;2:965-966. 11. Calearo CV, Teatini G. Functional neck dissection: anatomical grounds, surgical technique, clinical observations . Ann Otol Rhinol Laryngol . 1983;92:215-222. 12. Hermanek P, Sobin LH, eds. UICC (International Union Against Cancer)-TNM Classification of Malignant Tumors . Geneva, Switzerland: UICC; 1980. 13. Lingeman RE, Helmus C, Stephens R, Ulm J. Neck dissection: radical or conservative . Ann Otol Rhinol Laryngol . 1977;89:737-744. 14. Jesse RH, Ballantyne AJ, Larson D. Radical or modified neck dissection: a therapeutic dilemma . Am J Surg . 1978;136:516-519.Crossref 15. Molinari R, Cantú G, Chiesa F, Grandi C. Retrospective comparison of conservative and radical neck dissection in laryngeal cancer . Ann Otol Rhinol Laryngol . 1980;89:578-581. 16. DeSanto LW, Beahrs OH, Holt JJ, O'Fallon WM. Neck dissection and combined therapy: study of effectiveness . Arch Otolaryngol Head Neck Surg . 1985;111:366-370.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Five-Year Results of Functional Neck Dissection for Cancer of the Larynx

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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1989.01860340047015
Publisher site
See Article on Publisher Site

Abstract

Abstract • Two hundred forty-two patients with a diagnosis of epidermoid carcinoma of the larynx were studied. All of them underwent surgery. One hundred sixty-one patients underwent functional neck dissection, with a total of 206 performed. Thirty-three patients underwent classic radical neck dissection, with a total of 35 performed. The overall 5-year neck tumor recurrence rate in the necks with functional neck dissection was 3.4%. Recurrences developed in 5.7% of fields protected by radical neck dissection. The overall recurrence rate in the surgically unprotected necks was 6.2%. Our results confirm that functional neck dissection is the procedure of choice in cases with NO disease and in cases with mobile nodes. From the oncologic viewpoint, functional neck dissection is a safe technique to treat the cervical spread from cancer of the larynx as long as its indications and technical characteristics are carefully observed. (Arch Otolaryngol Head Neck Surg. 1989;115:1193-1196) References 1. Suárez O. Le problème chirurgical du cancer du larynx . Ann Oto-Laryngol . 1962; 79:22-34. 2. Suárez O. El problema de las metástasis linfáticas y alejadas del cáncer de laringe e hipofaringe . Rev Otorrinolaringol Santiago . 1963;23:83-99. 3. Silvestre-Begnis C. Consideraciones sobre el problema del tratamiento quirúrgico de los ganglios en los cánceres de la laringe . Actas II Congreso Sudamericano ORL . Montevideo, Uruguay: 1944. 4. Bocca E, Pignataro O. A conservation technique in radical neck dissection . Ann Otol Rhinol Laryngol . 1967;76:975-988. 5. Gavilán C, Blanco A, Suárez O. El vaciamiento funcional-radical cervicoganglionar: anatomía quirúrgica, técnica y resultados . Acta Otorhinolaryngol Iber-Am . 1972;23:703-817. 6. André P, Laccourreye H, Haguet JF, Beauvillain C, Henin JM, Aubert JD. Comparaison des résultats carcinologiques à long terme entre les évidements cervicaux radicaux et conservateurs . Ann Oto-Laryngol 1975;92:113-126. 7. Baredes S, Nussbaum M, Som ML. The role of supraomohyoid neck dissection at the time of supraglottic laryngectomy . Laryngoscope . 1985;95:151-155.Crossref 8. Becker GD, Parell GJ. Technique of preserving the spinal accessory nerve during radical neck dissection . Laryngoscope . 1979;89:826-831. 9. Schuller DE, Platz CE, Krause CJ. Spinal accessory lymph nodes: a prospective study of metastatic involvement . Laryngoscope . 1978; 88:439-450.Crossref 10. Tomás MD, Gavilán C, Gavilán J. Functional neck dissection in cancer of the larynx . In: Myers E, ed. New Dimensions in Otorhinolaryngology—Head and Neck Surgery . Amsterdam, the Netherlands: Elsevier Science Pulishers; 1985;2:965-966. 11. Calearo CV, Teatini G. Functional neck dissection: anatomical grounds, surgical technique, clinical observations . Ann Otol Rhinol Laryngol . 1983;92:215-222. 12. Hermanek P, Sobin LH, eds. UICC (International Union Against Cancer)-TNM Classification of Malignant Tumors . Geneva, Switzerland: UICC; 1980. 13. Lingeman RE, Helmus C, Stephens R, Ulm J. Neck dissection: radical or conservative . Ann Otol Rhinol Laryngol . 1977;89:737-744. 14. Jesse RH, Ballantyne AJ, Larson D. Radical or modified neck dissection: a therapeutic dilemma . Am J Surg . 1978;136:516-519.Crossref 15. Molinari R, Cantú G, Chiesa F, Grandi C. Retrospective comparison of conservative and radical neck dissection in laryngeal cancer . Ann Otol Rhinol Laryngol . 1980;89:578-581. 16. DeSanto LW, Beahrs OH, Holt JJ, O'Fallon WM. Neck dissection and combined therapy: study of effectiveness . Arch Otolaryngol Head Neck Surg . 1985;111:366-370.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Oct 1, 1989

References

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