BACKGROUND We reviewed management of the cervical lymph nodes in patients with Merkel cell carcinoma (MCC) of the head and neck. METHODS Records of 15 patients with MCC of the head and neck area were evaluated for the type of surgical treatment, including wide local excision, sentinel lymph node (SLN) biopsy, neck dissection, postoperative radiation therapy, and clinical outcomes. RESULTS M...

OBJECTIVES/HYPOTHESIS To study the cost effectiveness of positron emission tomography-computerized tomography (PET-CT) scanning in the management of the neck after chemoradiotherapy (CRT). STUDY DESIGN Cost effectiveness and decision analysis model. METHODS A cost-effectiveness analysis comparing up-front neck dissection to serial PET-CT imaging in a hypothetical clinical scenario of debate...

The aim of this study was to analyse patterns of metastatic spread from cutaneous head and neck melanoma, which are said to be highly variable. The medical records of 145 patients with pathologically proven metastatic melanoma were reviewed retrospectively. The location of pathologically positive lymph nodes was compared with clinically predicted spread, and patients with metastatic disease in ...

Abstract Background This study aims to report the rate of occult lymph node metastasis during elective neck dissection in clinically and radiologically negative (cN0) for patients offered total laryngectomy as either primary or salvage treatment. We also compare complications recurrence after laryngectomy. A retrospective review treated a single teaching hospital UK between 2004 2020 was perfor...

BACKGROUND There is no consensus on the treatment of head-and-neck cancer of unknown primary (HNCUP). The objective of this study is to report our single institution's experience of a tailored multimodality therapy guided by a two-step decision making process. MATERIALS AND METHODS From January 2007 to November 2013, 92 consecutive patients of HNCUP were treated. 77 patients were treated acco...

BACKGROUND Patient-reported outcome measures evaluating shoulder disability after neck dissection have not been sufficiently validated. We assessed the psychometric properties of the Shoulder Disability Questionnaire (SDQ), Neck Dissection Impairment Index (NDII), and the Shoulder Pain and Disability Index (SPADI) in patients after neck dissection. METHODS One hundred seven patients completed...

BACKGROUND Currently, there is no clear consensus on the extent of this lateral neck dissection required in papillary thyroid cancer (PTC) with lateral neck metastasis. The purpose of this study was to review our experience with metastatic PTC, and identify the pattern of lymphatic spread to the lateral neck. METHODS A retrospective medical chart review of PTC patients treated with lateral ne...

OBJECTIVES/HYPOTHESIS To analyze outcomes among patients with residual positron-emission tomography (PET)-negative lymphadenopathy after chemoradiotherapy for head and neck cancer based on whether or not they underwent neck dissection. STUDY DESIGN Retrospective review. METHODS Fifty-five patients with stage III/IV squamous cell carcinoma of the head and neck were identified with residual P...

Therapeutic central neck dissection for differentiated thyroid cancer is recommended in the setting of clinically positive disease. The role of lymphadenectomy in patients with clinically negative disease is a matter of controversy and therefore extent of surgery varies. The boundaries of the central neck are variably described, as are the components of a central neck dissection. Patients with ...

CONTEXT Neck dissection that accompanies resection of the primary lesion in malignant tumors of the upper aerodigestive tracts may cause complications inherent to the procedure or to prolongation of surgical time, increasing the risks for the patient. Among the complications that might occur is blindness, a rare complication with only 10 cases reported in the literature thus far. OBJECTIVE To...