Microvascular Reconstruction After Previous Neck Dissection

Simplifying head and neck microvascular reconstruction.

BACKGROUND Free-tissue transfer has become the preferred method of head and neck reconstruction but is a technique that is considered to use excessive hospital resources. METHODS This study is a retrospective review of 125 consecutive free flaps in 117 patients over a 16-month period at a tertiary care university hospital. RESULTS Defects of the oral cavity/oropharynx (60%), midface (9%), h...

Preventable Sternocleidomastoid Muscular Atrophy after Neck Dissection

BACKGROUND Modified radical neck dissection (mRND) [preserving the sternocleidomastoid muscle (SCM) and the spinal accessory nerve] and supraomohyoid neck dissection have become common surgical procedures for treating head and neck cancer. Postoperative severe asymmetry of the neck and severe atrophy of the SCM, however, have been demonstrated. METHODS Using computed tomographic images, cross...

Ipsilateral neck cancer recurrences after elective supraomohyoid neck dissection.

DESIGN Retrospective analysis of a case series. SETTING Referral center, private or institutional practice, hospitalized care. OBJECTIVE To analyze the level (site) of ipsilateral neck recurrences after supraomohyoid (SOH) dissection in patients with lip, oral, and oropharyngeal cancer treated in a single institution. INTERVENTION Supraomohyoid neck dissection. PATIENTS AND METHODS From...

Shoulder function after radical neck dissection.

Factors affecting cancer recurrence after microvascular flap reconstruction of the head and neck.

OBJECTIVE Our objective was to determine which factors are associated with cancer recurrence after microvascular reconstruction of the head and neck for squamous cell carcinoma (SCC). STUDY DESIGN A cohort of patients who fit the inclusion/exclusion criteria were identified retrospectively. METHODS A group of 184 patients who underwent successful surgical resection and simultaneous microvas...