Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-24T15:37:08.074Z Has data issue: false hasContentIssue false

Functional neck dissection: cure and functional results

Published online by Cambridge University Press:  29 June 2007

Ercihan Güney
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Erciyes University Medical Faculty, Kayseri, Turkey.
O. Gazi Yigitbaşi*
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Erciyes University Medical Faculty, Kayseri, Turkey.
Kürşat Canöz
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Erciyes University Medical Faculty, Kayseri, Turkey.
Mustafa ÖZtürk
Affiliation:
Department of Radiology, Erciyes University Medical Faculty, Kayseri, Turkey.
Ali Ersoy
Affiliation:
Department of Neurology, Erciyes University Medical Faculty, Kayseri, Turkey.
*
Address for correspondence: Dr O. Gazi Yigitbaşi Millet cad. Belediye Durmaz iş Hani, Analiz Tani Merkezi, Kat: 3, No. 305, Kayseri, Turkey. Fax: 00 90 352 2227564

Abstract

In this study, the cure and functional results of 133 functional neck dissections performed between 1992–1997 in Erciyes University Medical Faculty were evaluated. The overall recurrence rate was three per cent. This rate was 1.4 per cent for elective functional neck dissections and five per cent for curative functional neck dissections. Electromyographic studies showed that there was severe neurogenic deficit in the trapezius muscle of seven patients (12.5 per cent), and in the sternocleidomastoid muscle of 12 patients (21.4 per cent) among 56 randomly selected patients. In all cases, the flow rate and diameter of the internal jugular vein was found to be normal by Doppler ultrasonography. The results of this study showed that functional neck dissection is a reliable technique for obtaining a high cure rate and functional results.

Keywords

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bocca, E. (1966) Supraglottic laryngectomy and functional neck dissection. Journal of Laryngology and Otology 80: 831838.CrossRefGoogle ScholarPubMed
Bocca, E., Pignataro, O., Oldini, C., Cappa, C. (1984) Functional neck dissection: an evaluation and review of 843 cases. Laryngoscope 94: 942945.CrossRefGoogle ScholarPubMed
Bocca, E., Pignataro, O., Sasaki, C. (1980). Functional neck dissection. Archives of Otolaryngology 106: 524527.CrossRefGoogle ScholarPubMed
Carenfelt, C., Eliasson, K. (1980) Occurrence, duration and prognosis of unexpected accessory nerve paresis in radical neck dissection. Acta Otolaryngologica 90: 470473.CrossRefGoogle ScholarPubMed
Cotter, C. S., Stringer, S. P., Landau, S., Mancuso, A. A., Cassini, N. J. (1994) Patency of the internal jugular vein following modified radical neck dissection. Laryngoscope 104: 841845.CrossRefGoogle ScholarPubMed
Crile, G. (1906) Excision of cancer of the head and neck. Journal of the American Medical Association 47: 17801786.CrossRefGoogle Scholar
Docherty, J. G., Carter, R., Sheldon, C. D., Falconer, J. S., Bainbridge, L. C., Robertson, A. G., Soutar, D. S. (1993) Relative effect of surgery and radiotherapy on the internal jugular vein following functional neck dissection. Head and Neck 15: 553556.CrossRefGoogle ScholarPubMed
Fisher, C. B., Mattox, D. E., Zinreich, J. S. (1988) Patency of the internal jugular vein after functional neck dissection. Laryngoscope 98: 923927.CrossRefGoogle ScholarPubMed
Gavilan, C., Gavilan, J. (1989) Five-year results of functional neck dissection for cancer of the larynx. Archives of Otolaryngology-Head and Neck Surgery 115: 11931196.CrossRefGoogle ScholarPubMed
Gordon, S. L., Graham, W. P., Black, J. T., Miller, S. H. (1977) Accessory nerve function after surgical procedures in the posterior triangle. Archives of Surgery 112: 264268.CrossRefGoogle ScholarPubMed
Leontsinis, T. G., Currie, A. R., Mannell, A. (1995) Internal jugular vein thrombosis following functional neck dissection. Laryngoscope 105: 169174.CrossRefGoogle ScholarPubMed
Suarez, O. (1963) El problema de las metastasis linfaticas y alejadas del cancer de laringe e hipofaringe. Revista de Otorrhinolaryngologia Santiago 23: 8399.Google Scholar
Zibordi, F., Baiocco, F., Bascelli, C., Bini, A., Canepa, A. (1988) Spinal accessory nerve function following neck dissection. Annals of Otology Rhinology and Laryngology 97: 8386.CrossRefGoogle ScholarPubMed