The Upper Limits of Central Neck Dissection
نویسندگان
چکیده
منابع مشابه
The upper limits of central neck dissection.
IMPORTANCE Central neck dissection (CND) is considered an imperative part of the treatment of patients with high-risk, well-differentiated thyroid carcinoma. OBJECTIVE To examine the presence of lymphatic tissue and/or metastatic nodes in the upper part of the paratracheal region to determine the need to dissect this region as part of a paratracheal neck dissection. DESIGN, SETTING, AND PAR...
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Iatrogenic injury to the spinal accessory nerve (SAN) during neck dissection may result in significant and avoidable morbidity in the form of 'shoulder syndrome'. The authors describe a simple method, based on the anatomy of the sternocleidomastoid muscle (SCM), which allows consistent and rapid identification of the SAN in the upper neck during dissection, thereby facilitating its preservation.
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BACKGROUND Central compartment lymph node dissection is a common adjunct to thyroidectomy in the treatment of papillary thyroid cancer. The indications, surgical technique, potential benefits, and operative risks of this procedure should be clearly defined in order to provide optimal care to these patients. METHODS A systematic review of the literature and an analysis of evidence-based recomm...
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Correspondence To the Editor: We have read with interest the article reported by Guo et al., [1] who performed a transoral thyroidectomy with central neck dissection on human cadavers by using a sublingual combined bilateral vestibular access. Interestingly, the described technique is identical to our approach that we published as a video paper in 2009. Although we could demonstrate the surgica...
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Therapeutic central neck dissection for differentiated thyroid cancer is recommended in the setting of clinically positive disease. The role of lymphadenectomy in patients with clinically negative disease is a matter of controversy and therefore extent of surgery varies. The boundaries of the central neck are variably described, as are the components of a central neck dissection. Patients with ...
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ژورنال
عنوان ژورنال: JAMA Otolaryngology–Head & Neck Surgery
سال: 2014
ISSN: 2168-6181
DOI: 10.1001/jamaoto.2014.972