What question did this study set out to answer?

To evaluate and compare local recurrence rates following radical en bloc versus modified conservative neck dissection in patients with epidermoid carcinoma across various cervical lymph node stages.

November 1, 1977Annals of Otology Rhinology & Laryngology

Neck Dissection: Radical or Conservative

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Authors

RLRaleigh E. LingemanIndianapolis Zoo CHChristian HelmusGrand Rapids Women's Health RSRobert E. StephensKansas City University

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Implication

Retrospective review reveals effective local disease control with conservative neck dissection in early-stage nodal disease, suggesting its use over radical surgery for N0 and N1 cases.

Key Points

To evaluate and compare local recurrence rates following radical en bloc versus modified conservative neck dissection in patients with epidermoid carcinoma across various cervical lymph node stages.
Retrospective review of 445 neck dissections performed for epidermoid carcinoma over a 10-year period.
Patients underwent either radical en bloc dissection (N=347) or modified conservative neck dissection (N=98), categorized by cervical lymph node classification.
Conservative neck dissection achieved local disease control as effectively as radical dissection in patients staged with N0 and N1 nodal disease, though numerical recurrence rates were not reported in the abstract.
Conservative dissection was not performed in any patients with N3 disease, and patient numbers with N2 disease were too few to allow an accurate comparison between surgical techniques.

Cite This Study

Lingeman et al. (1977) studied this question.

synapsesocial.com/papers/6a8bdc443fd21775a533c0fa https://doi.org/10.1177/000348947708600604

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Implication

Retrospective review reveals effective local disease control with conservative neck dissection in early-stage nodal disease, suggesting its use over radical surgery for N0 and N1 cases.

Neck Dissection: Radical or Conservative

Discussion

Member takes

Implication

Key Points

Cite This Study

Neck Dissection: Radical or Conservative

Discussion

Member takes

Implication

Key Points

Cite This Study

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