October 2018 Vol. 6 No.10

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Short Communication

Safety and Efficacy of Modified Radical Neck Dissection in Treatment of Node-Positive Squamous Cell Neck Cases

Ilian Y. Doykov^*, Ilia P. Yovchev and Dimitar D. Pazardjikliev

University Hospital “Kaspela”, Department of ENT diseases, Medical University, Plovdiv

*Corresponding Author’s E-mail: daniel_doykov@abv.bg

Accepted October 13, 2018

Abstract

Type of neck dissection in cases with squamous cell neck cancer /SCNC/ remains controversial. In the last century the techniques of neck dissection have changed dramatically to the organ sparing one. The aim of the study is to compare the safety and efficacy of modified radical neck dissection /MRND/ with radical one in node positive cases with SCNC. We compare the complications rate and completeness of both types of neck dissection in 10 patients with N1 and N2 who underwent supraomohyoid and lateral modified radical neck dissections with 10 patients underwent radical one in the last 10 years. In the group of MRND we have one patient with neck hematoma which resolved spontaneously and another one with lymph leak lasting 3 weeks. In the control group we registered loss of sensitiveness on the affected neck side in all patients as well as severe hemorrhage in one patient leading to reoperation, loss of full range shoulder movements in the whole group of patients. Comparing the number of nodes removed in the MRND group the average number was 18±1.2, as well as in the control group was 21±0.8. MRND is much more functional than radical one with relatively same radicalness.

Keywords: Neck dissection, Squamous cell neck cancer, Complications, neck hematoma, lymph leak, Effectiveness