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January 1975

Transsternal Radical Neck Dissection: Postoperative Complications and Management

Author Affiliations

From the Department of Otolaryngology and Maxillofacial Surgery, Northwestern University-McGaw Medical Center, Chicago. Dr. Edison is currently with the Department of Otolaryngology, Wilford Hall USAF, Lackland Air Force Base, Texas.

Arch Otolaryngol. 1975;101(1):46-49. doi:10.1001/archotol.1975.00780300050014

In 1962, Sisson et al reported the use of the transsternal radical neck dissection for carcinoma recurring in the peristomal area after laryngectomy. We have performed over 50 transsternal radical neck dissections in the past 14 years. A significant number of early cases succumbed to the postoperative problems of fistula, infection, and large vessel rupture.

Our two cases illustrate intraoperative and postoperative complications. Management of these complications is discussed. Morbidity and mortality has decreased as we have gained experience in the management of these problems.

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