caa a22 4500 477086837 CHVBK 20180405111505.0 cr unu---uuuuu 170330e19960801xx s 000 0 eng 10.1007/BF00178287 doi (NATIONALLICENCE)springer-10.1007/BF00178287 Selective neck dissection in the management of squamous cell carcinoma of the upper digestive tract [Elektronische Daten] [P. Ambrosch, L. Freudenberg, M. Kron, W. Steiner] Selective neck dissection has been used clinically in elective treatment of carcinoma, although many surgeons continue to advocate modified radical or radical neck dissection for therapeutic management of the neck. In a retrospective study 167 previously untreated patients were reviewed following curative laser microsurgical resections of oral or pharyngeal primary tumors and a unior bilateral selective neck dissection. In all, 221 (54 bilateral) neck dissections were performed. In patients with oral primary disease lymph nodes of levels I-III were removed, while nodes in levels II and III were removed in patients with pharyngeal tumors. Level IV was dissected when several metastases were suspected during operation. The posterior triangle was not dissected. Lymph nodes were histopathologically negative in 73 patients and positive in 94 patients. Twenty-five of these latter cases had pN1 disease, 55 had pN2b disease and 10 had bilateral lymph node metastases. Twenty patients in the pN0 group and 63 patients in the pN+ group received postoperative radiotherapy (to 56.7 Gy to the primary site and 52.5 Gy to the neck). With a median follow-up interval of 34 months, recurrence in the dissected neck occurred in 3 of 73 patients (4.1%) with pN0 disease and 6 of 90 patients (6.6%) with pN+ necks. Four patients with pN+ necks had simultaneous recurrences at the primary site. The addition of adjuvant radiotherapy seemed to improve disease control in the neck and improve overall survival in patients with an unfavorable prognosis due to multiple metastases or metastases with extracapsular spread. Springer-Verlag, 1996 Squamous cell carcinoma nationallicence Selective neck dissection nationallicence Upper digestive tract nationallicence Ambrosch P. Department of Otorhinolaryngology, Head and Neck Surgery, University of Göttingen, Robert-Koch-Strasse 40, D-37075, Göttingen, Germany aut Freudenberg L. Department of Otorhinolaryngology, Head and Neck Surgery, University of Göttingen, Robert-Koch-Strasse 40, D-37075, Göttingen, Germany aut Kron M. Department of Biometry and Medical Documentation, University of Ulm, Ulm, Germany aut Steiner W. Department of Otorhinolaryngology, Head and Neck Surgery, University of Göttingen, Robert-Koch-Strasse 40, D-37075, Göttingen, Germany aut European Archives of Oto-Rhino-Laryngology Springer-Verlag 253/6(1996-08-01), 329-335 0937-4477 253:6<329 1996 253 405 https://doi.org/10.1007/BF00178287 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00178287 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ambrosch P. Department of Otorhinolaryngology, Head and Neck Surgery, University of Göttingen, Robert-Koch-Strasse 40, D-37075, Göttingen, Germany aut NATIONALLICENCE 700 1- Freudenberg L. Department of Otorhinolaryngology, Head and Neck Surgery, University of Göttingen, Robert-Koch-Strasse 40, D-37075, Göttingen, Germany aut NATIONALLICENCE 700 1- Kron M. Department of Biometry and Medical Documentation, University of Ulm, Ulm, Germany aut NATIONALLICENCE 700 1- Steiner W. Department of Otorhinolaryngology, Head and Neck Surgery, University of Göttingen, Robert-Koch-Strasse 40, D-37075, Göttingen, Germany aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer-Verlag 253/6(1996-08-01), 329-335 0937-4477 253:6<329 1996 253 405 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer