Comparative study of complications of comprehensive neck dissection in primary neck and irradiated neck

  • Md Mosleh Uddin Asstt. Prof. Department of Otolaryngology- Head and Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka.
  • Belayat Hossain Siddiquee Professor and Chief, Head - Neck Surgery Division, Department of Otolaryngology ? Head and Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka.
  • Syed Farhan Ali Rajib Asstt. Prof., Department of Otolaryngology- Head and Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka.
  • Kazi Shameemus Salam Assistant Professor, Head - Neck Surgery Division, Department of Otolaryngology ? Head and Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
Keywords: Neck Dissection, complications of Neck Dissection

Abstract

Due to close relationship of vital structures in the neck, certain complications are inherent to neck dissection (ND) for the treatment of patients with metastatic neck disease of squamous cell carcinoma.

Aim: To compare the incidence of complications of Comprehensive ND done in primary neck and in irradiated neck.

Methods: A cross sectional study of 267 patients with metastatic squamous cell carcinoma in the neck, with or without primary tumor, under gone ND with a curative intension, was made from January 2007 to December 2011 (five years). It was done to identify perioperative complications and to compare them in NDs done in primary neck and in irradiated neck.

Result: Total 267 patients with unilateral Comprehensive ND, with or without en-block of the primary tumor, were studied. There was no death. The most frequent complication was marginal mandibular nerve injury (4.05% in primary neck and 8.51% in irradiated neck) followed by intra operative hemorrhage (1.16% in primary neck and 3.19% in irradiated neck).

Conclusion: There were no perioperative death in either category; nerves were the most commonly injured structures. Complications were higher in neck dissection in irradiated neck than in primary neck dissection.

DOI: http://dx.doi.org/10.3329/bjo.v19i1.14857

Bangladesh J Otorhinolaryngol 2013; 19(1): 5-10

Downloads

Download data is not yet available.
Abstract
436
PDF
201
Published
2013-05-03
How to Cite
Uddin, M., Siddiquee, B., Rajib, S., & Salam, K. (2013). Comparative study of complications of comprehensive neck dissection in primary neck and irradiated neck. Bangladesh Journal of Otorhinolaryngology, 19(1), 5-10. https://doi.org/10.3329/bjo.v19i1.14857
Section
Original Articles