Sensory Changes Associated With Selective Neck Dissection | Anesthesiology | JAMA Otolaryngology–Head & Neck Surgery | JAMA Network
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1.
Crile  GW Excision of cancer of the head and neck.  JAMA. 1906;471780- 1786Google ScholarCrossref
2.
Byers  RM Modified neck dissection.  Am J Surg. 1985;150414- 421Google ScholarCrossref
3.
Bocca  EPignataro  OOldini  CCappa  C Functional neck dissection: an evaluation and review of 843 cases.  Laryngoscope. 1984;94942- 945Google Scholar
4.
Spiro  RHGallo  OShah  JP Selective jugular node dissection in patients with squamous carcinoma of the larynx or pharynx.  Am J Surg. 1993;166399- 402Google ScholarCrossref
5.
Traynor  SJCohen  JIGray  JAndersen  PEEverts  EC Selective neck dissection and management of the node-positive neck.  Am J Surg. 1996;172654- 657Google ScholarCrossref
6.
Spiro  RHMorgan  GJStrong  EWShah  JP Supraomohyoid neck dissection.  Am J Surg. 1996;172650- 653Google ScholarCrossref
7.
Kraus  DHRosenberg  DBDavidson  BJ  et al.  Supraspinal accessory lymph node metastases in supraomohyoid neck dissection.  Am J Surg. 1996;172646- 649Google ScholarCrossref
8.
Shah  JP Patterns of cervical lymph node metastasis from squamous carcinomas of the upper aerodigestive tract.  Am J Surg. 1990;160405- 409Google ScholarCrossref
9.
Byers  RMClayman  GLMcGill  D  et al.  Selective neck dissections for squamous carcinoma of the upper aerodigestive tract: patterns of regional failure.  Head Neck. 1999;21499- 505Google ScholarCrossref
10.
Hughes  CJGallo  OSpiro  RHShah  JP Management of occult neck metastases in oral cavity squamous carcinoma.  Am J Surg. 1993;166380- 383Google ScholarCrossref
11.
McGuirt  WFJohnson  JTMyers  ENRothfield  RWagner  R Floor of mouth carcinoma.  Arch Otolaryngol Head Neck Surg. 1995;121278- 282Google ScholarCrossref
12.
Yuen  APWei  WIWong  SH Critical appraisal of watchful waiting policy in the management of N0 neck of advanced laryngeal carcinoma.  Arch Otolaryngol Head Neck Surg. 1996;122742- 745Google ScholarCrossref
13.
Andersen  PECambronero  EShaha  ARShah  JP The extent of neck disease after regional failure during observation of the N0 neck.  Am J Surg. 1996;172689- 691Google ScholarCrossref
14.
Kligerman  JOlivatto  LOLima  RA  et al.  Elective neck dissection in the treatment of T3/T4 N0 squamous cell carcinoma of the larynx.  Am J Surg. 1995;170436- 439Google ScholarCrossref
15.
Alvi  AJohnson  JT Extracapsular spread in the clinically negative neck (N0): implications and outcome.  Otolaryngol Head Neck Surg. 1996;11465- 70Google ScholarCrossref
16.
Schuller  DEReiches  NAHamaker  RC  et al.  Analysis of disability resulting from treatment including radical neck dissection or modified neck dissection.  Head Neck Surg. 1983;6551- 558Google ScholarCrossref
17.
Shone  GRYardley  MP An audit into the incidence of handicap after unilateral radical neck dissection.  J Laryngol Otol. 1991;105760- 762Google ScholarCrossref
18.
Sugarbaker  ED Intracranial pressure studies incident to the resection of the internal jugular vein.  Cancer. 1951;4242- 248Google ScholarCrossref
Original Article
March 2000

Sensory Changes Associated With Selective Neck Dissection

Author Affiliations

From the Department of Otolaryngology, Head and Neck Surgery, Oregon Health Sciences University, Portland (Drs Saffold, Wax, Andersen, Everts, and Cohen); the Department of Otolaryngology, Head and Neck Surgery, State University of New York at Buffalo (Dr Nguyen); and the Department of Otolaryngology, Portland Veterans Affairs Medical Center, Portland (Dr Caro).

Arch Otolaryngol Head Neck Surg. 2000;126(3):425-428. doi:10.1001/archotol.126.3.425
Abstract

Objective  To evaluate sensory changes in the head and neck region associated with selective neck dissection with or without preservation of cervical root branches.

Design  Retrospective cohort study.

Setting  University tertiary referral hospital and a Veterans Affairs hospital.

Patients  Fifty-seven patients who had undergone 84 neck dissections with or without preservation of the sensory cervical root branches 3 or more months before evaluation.

Interventions  Questionnaire combined with head and neck sensory examination.

Main Outcome Measures  Neck and facial sensory function.

Results  Neck dissections with preservation of the cervical rootlets were most likely to be associated with a small area of anesthesia in the upper neck below the body of the mandible and anterior to the mid-body of the mandible (P=.03). Neck dissections without rootlet-preserving technique increased the area of anesthesia to include all other areas of the neck (P=.02).

Conclusions  Preservation of the cervical root branches resulted in a small, limited, and uniform area of the neck rendered permanently anesthetic. Conversely, sacrifice of the nerve branches led to a pattern of anesthesia involving the entire neck.

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