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83rd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

16.05. - 20.05.2012, Mainz

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The strategy of bilateral surgical treatment in clinical negative lymph nodes neck in supraglottic carcinoma of larynx

Meeting Abstract

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  • Zhenkun Yu - Beijing Tongren Hospital, Capital Medical University, Beijing, P.R. China
  • Demin Han - Beijing Tongren Hospital, Capital Medical University, Beijing, P.R. China
  • Zhigang Huang - Beijing Tongren Hospital, Capital Medical University, Beijing, P.R. China
  • Xin Ni - Beijing anzhen Hospital, Capital Medical University, Beijing, P.R. China
  • Erzhong Fan - Beijing Tongren Hospital, Capital Medical University, Beijing, P.R. China

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hnod176

doi: 10.3205/12hnod176, urn:nbn:de:0183-12hnod1763

Published: April 4, 2012

© 2012 Yu et al.
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Outline

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Objective: To investigate the surgical treatment methods of bilateral cN0 neck in supraglottiic carcinoma of larynx.

Method: Between 1998 and 2000, 32 cases of supraglottic carcinoma with bilateral cN0 necks were treated using ipsilateral selective neck dissection within level II and III during operation, after completing the dissection the specimens obtained were detected using frozen pathological test. If the lymph nodes were positive, the contralateral selective neck dissection within level II and III were conducted. If negative, the contralateral neck was follow-up.

Results: 11 of 32 cases of supraglottic carcinoma of larynx conducted bilateral neck dissections depended on the results of frozen pathologic tests. The bilateral neck dissections rate is 34.3% and the effective rate is 54.5%.

Conclusion: The neck dissection within level II and III could be used in cN0 necks of supraglottiic carcinoma of larynx. The strategy of contralateral selective neck dissection conducted depended on one side frozen pathological results can be used and provided us a good method.