A 59-year-old man presented with the acute onset of paresthesias and pain in the left neck, face, and forehead. On subsequent investigation he was found to have a subadventitial type of carotid artery dissection, producing an ipsilateral Horner's syndrome with normal carotid angiography. MRI imaging of the neck structures, using fat saturation technique, showed the subadventitial dissection, sp...

The aim of this study is to evaluate the results of treatment for hypopharyngeal cancer and indicate the future prospect of the treatment. Seventy-four patients with squamous cell carcinoma of the hypopharynx admitted to Miyagi Cancer Center from 1993 through 2000 are reviewed. Sixty-four patients received radical treatment, and 10 patients received palliative treatment or no treatment. The can...

Radical neck dissection is a concept that was presented in 1906 by GW Crile and suffered constant improvement ever since. The surgical oncology procedure included the resection of the internal jugular vein, the sternocleidomastoid muscle, and the submandibular gland and the spinal accessory nerve. Deformities and impairment in the functionality of different regions of the neck and scapular regi...

OBJECTIVE Neck dissection is the most definitive and effective treatment for head and neck cancer. This systematic review aims to compare the efficacy and surgical outcomes of neck dissection between the harmonic scalpel and conventional surgical techniques and conduct a quantitative meta-analysis of the randomized trials. METHODS Randomized controlled trials (RCTs) were identified from the m...

Long-term olfactory dysfunction following coronavirus disease 2019 infection, routine neck dissection at salvage laryngectomy, parotid incidentalomas, and prescribing intranasal steroids in HIV infection - Volume 135 Issue 9

Amdur RJ, Mendenhall WM, Stringer SP, et al. Organ preservation with radiotherapy for T1-T2 carcinoma of the pyriform sinus. Head Neck. 2001;23:353-362. The authors reported on 101 patients with T1-T2 carcinoma of the pyriform sinus treated at the University of Florida with radiation therapy with or without a planned neck dissection for organ preservation. Radiation therapy alone or combined wi...

The common carotid artery usually bifurcates into the internal and external carotid arteries at the level of C3-C4. Injury to common carotid artery during neck dissection is encountered rarly. Knowing the anatomical variation of common carotid like low lying bifurcation would prevent inadvertent injury especially by budding head-neck surgeons. We report a case of 46-yearold male undergoing surg...

INTRODUCTION Chyle leak following cervical surgery has a reported incidence of around 2% annually, and the injury primarily favors a left sided involvement. Our patient presented with a right sided neck persistent chyle leak status post cervical neck dissection and radiation therapy. Infection complicated the patient's clinical course, and he inevitably required a right sided VATS thoracic duct...

OBJECTIVES/HYPOTHESIS Unlike lymphadenectomy at other sites, there is no discrete lymph node count defining an adequate neck dissection. The purpose of this study was to determine the minimum lymph node yield (LNY) of an elective level I-III neck dissection required to reliably capture any positive nodes present in these nodal basins. STUDY DESIGN Retrospective single-institution analysis. ...

Chylous fistula in the neck occurs in 1-2% of cases undergoing neck dissection with higher incidence on the left side due to damage of a high riding thoracic duct [1]. Chylothorax is a rare complication; approximately 20 cases of bilateral chylothorax have been reported in the past 100 years [2]. We report a case of bilateral chylothorax following neck dissection done for metastatic malignant m...