UNLABELLED The most common complication of neck dissection is shoulder dysfunction due to manipulation of spinal accessory nerve, resulting in trapezius muscle atrophy mainly in procedures involving the posterior neck triangle. AIM This study used electromyography to evaluate the injury to the spinal accessory nerve following neck dissection. MATERIALS AND METHODS Prospective case series of...

UNLABELLED Because of the proximity of vital structures, certain complications are inherent to neck dissection (ND) for the treatment of patients with squamous cell carcinoma of the upper aerodigestive tract. AIM To establish the incidence of complications of ND. METHODS A cross-sectional retrospective study of patient registries. ND with curative intention was evaluated in 480 patients wit...

Because of the proclivity of head and neck cancer to metastasize to the regional lymph nodes, a discussion of the management, regardless of the primary sites, mandates a concurrent discussion on how to treat the neck. With the exception of distant metastases the most adverse independent prognostic factor in squamous carcinoma of the head and neck is the presence of involved cervical lymph nodes...

OBJECTIVE This study was to evaluate the patterns of central lymph nodes metastasis, by analyzing the results of surgery in clinical NO (cNO) papillary thyroid carcinoma (PTC). METHOD We retrospectively studied the effect of surgical treatment among 123 cN0 PTC patients. All the patients underwent central lymph node dissection; 47 patients underwent ipsilateral neck dissection and 9 patients ...

The present study aimed to discuss the advantage of the application of a cervical low incision for functional neck dissection in patients with thyroid papillary carcinoma. The study was a retrospective analysis of 87 thyroid papillary carcinoma patients; cervical low incision in the functional neck dissection was applied for 47 cases and the classic 'L' incision was applied for 40 cases. The di...

Background: The potential oncologic benefit of adding neck dissection to thyroidectomy procedures is balanced with a presumed increased morbidity from more extensive surgery. Although there has been some literature documenting the risks of adverse events (AE) from neck dissection in single institutions, there has not been a large volume analysis to investigate this issue. Methods: The American ...

INTRODUCTION Vertebral artery dissection has become increasingly recognized as an important cause of stroke. It usually presents with posterior headache or neck pain followed within hours or days by signs of posterior circulation stroke. To the best of our knowledge, the clinical presentation of a Brown-Séquard syndrome with a vertebral artery dissection has been reported only once before. CA...

Iatrogenic injury to the spinal accessory nerve (SAN) during neck dissection may result in significant and avoidable morbidity in the form of 'shoulder syndrome'. The authors describe a simple method, based on the anatomy of the sternocleidomastoid muscle (SCM), which allows consistent and rapid identification of the SAN in the upper neck during dissection, thereby facilitating its preservation.

PURPOSE Incision of the anterior layer of Denonvilliers' fascia is commonly cited as a key step in successful dissection of the vasa deferentia and seminal vesicles from the posterior bladder neck during laparoscopic radical prostatectomy. However, anatomical descriptions do not support the presence of Denonvilliers' fascia anterior to the seminal vesicles. To address this inconsistency we perf...