There is still no consensus on the optimal treatment of the neck in oral cavity cancer patients with clinical N0 neck. The aim of this study was to assess a possible benefit of elective neck dissection in oral cancers with clinical N0 neck. A comprehensive search and systematic review of electronic databases was carried out for randomized trials comparing elective neck dissection to therapeutic...

BACKGROUND It is unclear if surgeons are performing comprehensive central neck dissections for well-differentiated thyroid cancer. The purpose of this study was to determine mean lymph node retrieval in central neck dissection as well as variability across surgeons and institutions. METHODS A prospectively collected database identified 18 surgeons performing 425 central neck dissections, 313 ...

We present here a case of extrathyroid CASTLE (the third case reported in the English literature) treated with excision and neck dissection without radiotherapy. Also, we reviewed the literature and analyzed the therapeutic results of each treatment modality for CASTLE. A 27-year-old male had initially presented with a painless, right neck mass for 2 months. Computed tomography of the neck show...

OBJECTIVE To evaluate the possibility, complications, and efficacy of endoscopic neck dissection (END) in a porcine model. DESIGN Experimental self-controlled study. SUBJECTS Minipigs. INTERVENTION Endoscopic neck dissection was performed using general anesthesia with techniques adapted from laparoscopic surgery. The tissue specimens removed were divided according to porcine equivalents o...

OBJECTIVE To evaluate the feasibility and efficacy of endoscopic neck dissection (END) in human cadavers. STUDY DESIGN Experimental self-controlled study. METHODS END on five human cadavers through three openings: one for the camera, one for the dissecting instrument, and one for a grasping one. The tissue specimens removed were divided into traditional neck groups (I to V). After the compl...

In head and neck cancers, regional spreading occurs via lymphatic pathways. Therefore, neck dissection is frequently performed in these patients; however, this results in a large incision scar in the neck. Retroauricular robotic surgical approach may be used for neck dissection as a remote-access method. This review presents a discussion of publications on retroauricular robotic neck dissection...

BACKGROUND From January 1981 through March 1996, 20 patients with head and neck cancer underwent radical neck dissection with sacrifice of the spinal accessory nerve and immediate reconstruction of the nerve using a microsurgical technique and a cable graft of the great auricular nerve. METHODS Postoperative shoulder function was assessed via a subjective questionnaire, objective strength tes...

BACKGROUND In the past, surgeons believed that in order to eradicate regional disease, a radical or modified radical neck dissection was necessary. An evolution in surgical principles and the popularization of primary chemoradiation has raised the questions regarding the role of neck dissection and the extent of neck dissection following therapy. The aim of this study was to determine the effic...

BACKGROUND Management of head and neck carcinoma from unknown primary (HNCUP) remains controversial, with neck dissection and radiotherapy (RT) or definitive RT both commonly used. The purpose of this study was to characterize HNCUP and retrospectively compare outcomes for patients treated with neck dissection + RT versus definitive RT. METHODS From 1994 to 2009, 41 patients with HNCUP underw...