Evaluation of level I neck nodes involvement in advanced malignancy of the larynx and the hypopharynx

Abstract Background Advanced cancer larynx and hypopharynx has high potentiality to nodal spread. Level of lymph node metastasis highly depends on site and stage of laryngopharyngeal carcinoma. Level I cervical lymph node dissection was performed to advanced laryngeal and/or hypopharyngeal tumors in...

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Main Authors: Osama Mohamed Hassan, Hisham Mansour, Osama Metwaly, Mohamed Salah
Format: Article
Language:English
Published: SpringerOpen 2021-05-01
Series:The Egyptian Journal of Otolaryngology
Subjects:
Online Access:https://doi.org/10.1186/s43163-021-00110-z
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author Osama Mohamed Hassan
Hisham Mansour
Osama Metwaly
Mohamed Salah
author_facet Osama Mohamed Hassan
Hisham Mansour
Osama Metwaly
Mohamed Salah
author_sort Osama Mohamed Hassan
collection DOAJ
description Abstract Background Advanced cancer larynx and hypopharynx has high potentiality to nodal spread. Level of lymph node metastasis highly depends on site and stage of laryngopharyngeal carcinoma. Level I cervical lymph node dissection was performed to advanced laryngeal and/or hypopharyngeal tumors in this study. Results According to our statistical analysis and data, none of those thirty patients had pathologically positive level I neck lymph nodes after dissection with only one patient suffered from marginal mandibular nerve affection and three patients complained of dry mouth post-operatively, confirming the result that there is no need for prophylactic level I neck dissection in the absence of clinically palpable suspicious lymph nodes. Conclusion Although it carries relative low morbidity, there is no need for prophylactic level I neck dissection in advanced laryngeal and/or hypopharyngeal cancer patients without clinically detectable nodal metastases “N0 neck.”
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spelling doaj.art-e08252c81d324b65b86c1e3e86a15dfa2024-04-16T21:36:57ZengSpringerOpenThe Egyptian Journal of Otolaryngology1012-55742090-85392021-05-013711610.1186/s43163-021-00110-zEvaluation of level I neck nodes involvement in advanced malignancy of the larynx and the hypopharynxOsama Mohamed Hassan0Hisham Mansour1Osama Metwaly2Mohamed Salah3Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Kasr Alainy School of Medicine, Cairo UniversityDepartment of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Kasr Alainy School of Medicine, Cairo UniversityDepartment of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Kasr Alainy School of Medicine, Cairo UniversityDepartment of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Kasr Alainy School of Medicine, Cairo UniversityAbstract Background Advanced cancer larynx and hypopharynx has high potentiality to nodal spread. Level of lymph node metastasis highly depends on site and stage of laryngopharyngeal carcinoma. Level I cervical lymph node dissection was performed to advanced laryngeal and/or hypopharyngeal tumors in this study. Results According to our statistical analysis and data, none of those thirty patients had pathologically positive level I neck lymph nodes after dissection with only one patient suffered from marginal mandibular nerve affection and three patients complained of dry mouth post-operatively, confirming the result that there is no need for prophylactic level I neck dissection in the absence of clinically palpable suspicious lymph nodes. Conclusion Although it carries relative low morbidity, there is no need for prophylactic level I neck dissection in advanced laryngeal and/or hypopharyngeal cancer patients without clinically detectable nodal metastases “N0 neck.”https://doi.org/10.1186/s43163-021-00110-zDissectionLevel ILaryngopharyngealCancer
spellingShingle Osama Mohamed Hassan
Hisham Mansour
Osama Metwaly
Mohamed Salah
Evaluation of level I neck nodes involvement in advanced malignancy of the larynx and the hypopharynx
The Egyptian Journal of Otolaryngology
Dissection
Level I
Laryngopharyngeal
Cancer
title Evaluation of level I neck nodes involvement in advanced malignancy of the larynx and the hypopharynx
title_full Evaluation of level I neck nodes involvement in advanced malignancy of the larynx and the hypopharynx
title_fullStr Evaluation of level I neck nodes involvement in advanced malignancy of the larynx and the hypopharynx
title_full_unstemmed Evaluation of level I neck nodes involvement in advanced malignancy of the larynx and the hypopharynx
title_short Evaluation of level I neck nodes involvement in advanced malignancy of the larynx and the hypopharynx
title_sort evaluation of level i neck nodes involvement in advanced malignancy of the larynx and the hypopharynx
topic Dissection
Level I
Laryngopharyngeal
Cancer
url https://doi.org/10.1186/s43163-021-00110-z
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