The impact of surgical technique on neck dissection nodal yield making a difference

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The impact of surgical technique on neck dissection nodal yield making a difference. / Lörincz, Balazs B; Langwieder, Felix ; Möckelmann, Nikolaus; Sehner, Susanne; Knecht, Rainald.

in: EUR ARCH OTO-RHINO-L, Jahrgang 273, Nr. 5, 05.2016, S. 1261–1267.

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@article{a81bda7c32c44b03b46c585993a72ab4,
title = "The impact of surgical technique on neck dissection nodal yield making a difference",
abstract = "The nodal yield of neck dissections is an independent prognostic factor in several types of head and neck cancer. The authors aimed to determine whether the applied dissection technique has a significant impact on nodal yield. This is a single-institution, prospective study with internal control group (level of evidence: 2A). Data of 150 patients undergoing 223 neck dissections between February 2011 and March 2013 have been collected in a comprehensive cancer centre. Eighty-two patients underwent neck dissection with unwrapping the cervical fascia from lateral to medial, while 68 patients were operated without specifically unwrapping the fascia, in a caudal to cranial fashion. The standardised, horizontal neck dissection technique along the fascial planes resulted in a significantly higher nodal count in Levels I, II, III and IV, as well as in terms of overall nodal yield (mean: n = 22.53) than that of the vertical dissection applied in the control group (mean: n = 15.00). This is the first publication showing a direct correlation between neck dissection nodal yield and surgical technique. Therefore, it is paramount to optimise the applied surgical concept to maximise the oncological benefit.",
author = "L{\"o}rincz, {Balazs B} and Felix Langwieder and Nikolaus M{\"o}ckelmann and Susanne Sehner and Rainald Knecht",
year = "2016",
month = may,
doi = "10.1007/s00405-015-3601-1",
language = "English",
volume = "273",
pages = "1261–1267",
journal = "EUR ARCH OTO-RHINO-L",
issn = "0937-4477",
publisher = "Springer",
number = "5",

}

RIS

TY - JOUR

T1 - The impact of surgical technique on neck dissection nodal yield making a difference

AU - Lörincz, Balazs B

AU - Langwieder, Felix

AU - Möckelmann, Nikolaus

AU - Sehner, Susanne

AU - Knecht, Rainald

PY - 2016/5

Y1 - 2016/5

N2 - The nodal yield of neck dissections is an independent prognostic factor in several types of head and neck cancer. The authors aimed to determine whether the applied dissection technique has a significant impact on nodal yield. This is a single-institution, prospective study with internal control group (level of evidence: 2A). Data of 150 patients undergoing 223 neck dissections between February 2011 and March 2013 have been collected in a comprehensive cancer centre. Eighty-two patients underwent neck dissection with unwrapping the cervical fascia from lateral to medial, while 68 patients were operated without specifically unwrapping the fascia, in a caudal to cranial fashion. The standardised, horizontal neck dissection technique along the fascial planes resulted in a significantly higher nodal count in Levels I, II, III and IV, as well as in terms of overall nodal yield (mean: n = 22.53) than that of the vertical dissection applied in the control group (mean: n = 15.00). This is the first publication showing a direct correlation between neck dissection nodal yield and surgical technique. Therefore, it is paramount to optimise the applied surgical concept to maximise the oncological benefit.

AB - The nodal yield of neck dissections is an independent prognostic factor in several types of head and neck cancer. The authors aimed to determine whether the applied dissection technique has a significant impact on nodal yield. This is a single-institution, prospective study with internal control group (level of evidence: 2A). Data of 150 patients undergoing 223 neck dissections between February 2011 and March 2013 have been collected in a comprehensive cancer centre. Eighty-two patients underwent neck dissection with unwrapping the cervical fascia from lateral to medial, while 68 patients were operated without specifically unwrapping the fascia, in a caudal to cranial fashion. The standardised, horizontal neck dissection technique along the fascial planes resulted in a significantly higher nodal count in Levels I, II, III and IV, as well as in terms of overall nodal yield (mean: n = 22.53) than that of the vertical dissection applied in the control group (mean: n = 15.00). This is the first publication showing a direct correlation between neck dissection nodal yield and surgical technique. Therefore, it is paramount to optimise the applied surgical concept to maximise the oncological benefit.

U2 - 10.1007/s00405-015-3601-1

DO - 10.1007/s00405-015-3601-1

M3 - SCORING: Journal article

C2 - 25784183

VL - 273

SP - 1261

EP - 1267

JO - EUR ARCH OTO-RHINO-L

JF - EUR ARCH OTO-RHINO-L

SN - 0937-4477

IS - 5

ER -