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Year:
1999
| Volume: 7
| Issue: 3
| Pages: 113-120
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Review Article |
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RADICAL NECK DISSECTION - THE IMPORTANCE IN MALIGNANT DISEASE CONTROL
Rajko JOVIC, Karol CANJI, Zoran KOMAZEC, Dusan KOROLIJA |
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DOI:
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Abstract: |
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During the 1990-1997 period, neck dissection, as a part of surgical treatment of malignant tumors of larynx and pharyngolarynx was performed in 398/505 (78.8%) of cases. Radical neck dissection was performed in 75/505 (14.8%) of cases. It was done in 44/75 (58.7%) of cases during the primary treatment, and in 31/75 (41.3%) of cases after the ending of primary tretment protocol because of recidivent metastatic deposites. In others 354/505 (70.1%) selective and modified neck dissection were performed. This study's goal was to determine how much the radical neck dissection influences the prevention of regional metastatic deposites appearance and its importance in survival time. The recidive of the neck metastases after radical neck dissection occured in 31/75 (41.3%) of cases. If we perform radical neck dissection after appearing of the lymph nodes, after finishing the primary treatment in 58% of cases local recidive was present on the side of the radical neck dissection, which was performed in the first act 29.5% of cases. Percentage of regional recidive was less in non irradiated patients 25% of cases, than in irradiated 50% of cases, there was no significant influence of postoperative irradiation on appearance of regional recidive. Bilateral neck mestastatic processes decreased survival. Radical neck dissection with survival of 11/75 (14.7%) of cases has small effect in the malignant disease control. |
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Key words:
Radical; Neck; Dissection; Irradiation; Recidive; Survival |
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