Value of contralateral supraomohyoid neck dissections

Raymond F. Morgan, Richard M. Hirata, Darrell A. Jaques, John R. Saunders

Research output: Contribution to journalArticle

Abstract

This study was carried out to determine the merit of contralateral supraomohyoid neck dissection in the clinically negative neck. When performed in conjunction with a standard radical neck dissection on the ipsilateral side, a yield of 2.8 percent pathologically positive nodes (5 of 177) was obtained in the contralateral neck. Little difference was noted in the yield of midline lesions versus unilateral lesions which approached the midline (3 and 2.6 percent, respectively). Similarly, the yield with preoperative radiation was close to that of the nonradiated group (3 and 2.7 percent, respectively). Additionally, in 1.7 percent of patients (3 of 177) with both clinically and pathologically negative nodes, metastases later developed in the contralateral neck, which indicates that the dissection is not necessarily effective in preventing future disease. The contralateral supraomohyoid neck dissection in the treatment of malignancies of the oral cavity, pharynx, and larynx does not appear to be of significant therapeutic value.

Original languageEnglish (US)
Pages (from-to)439-440
Number of pages2
JournalThe American Journal of Surgery
Volume146
Issue number4
DOIs
StatePublished - Oct 1983

ASJC Scopus subject areas

  • Surgery

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    Morgan, R. F., Hirata, R. M., Jaques, D. A., & Saunders, J. R. (1983). Value of contralateral supraomohyoid neck dissections. The American Journal of Surgery, 146(4), 439-440. https://doi.org/10.1016/0002-9610(83)90226-X