Functional Results of Transverse Extended Incision in Cervical Neck Dissection

Abstract Introduction Multiple incisions have been described for the surgical approach of cervical neck nodes. All of these descriptions are associated with better or worse exposure of the surgical field as well as with different functional and aesthetic results, which are not always satisfactory. Objective Compare the transverse cervical incision with the classic incision in J or U. Methods This is a retrospective study of 47 patients who required cervical neck dissection between June 15, 2016 and June 15, 2017.A transversal incision was made in these surgeries, and their results were then compared with those of a group of 57 patients treated between January 1, 2010 and January 1, 2012, in whose cases an incision in J or U was made. Results Regarding the incision type, complications were present in 4 (8.5 %) cases in the transversal incision group, and in 7 (12.2 %) patients of the group of traditional incisions in J or U, without statistical differences (p = 0.078). The only variables associated with complications of healing in the two groups was body mass index (BMI) < 18.5. The patients showed subjective satisfaction with the aesthetic result of the transverse incision, with an average of 7.51 vs 6.20 in the J or U incision. Conclusion The transverse incision represents a safe, aesthetic, and oncologically adequate option, associated with a lower cicatricial retraction rate, without significant complication rate and allowing adequate exposure of the surgical field, similar to the obtained with the classic incision in J or U.

Neoplasia asociada a Trichinella spiralis / Triquinella spiralis associated with neoplasia

La patología del cuello y su abordaje quirúrgico es una práctica clínica habitual para el cirujano de cabeza y cuello. El planteamiento de la cirugía será en base al diagnóstico de sospecha, con las pruebas de imagen y citología por punción de la tumoración cervical. En algunos casos el diagnóstico definitivo solo nos lo dará el estudio anatomopatológico de la pieza quirúrgica. Se presenta el caso de una tumoración cervical, de tórpida y rápida evolución, en la cual el agente Trichinella spiralis, pudo tener un papel en la etiología del cuadro.

Neck masses and their surgical approach form part of standard practice for the head and neck surgeon. The approach of the surgery will be based on the diagnosis of suspicion, with imaging and cytology by puncture of the cervical tumor. Sometimes the definitive diagnosis will only be established during surgery or, in particular, after pathological analysis. We present a case of a patient with cervical tumor, showing a rapid and fatal progression. In this patient, triquinella spiralis might play a role in cancer development.

Clincial investigation of functional neck dissection in the treatment of multiple cervical tuberculous lymphadenopathy / 中国普通外科杂志

Objective To compare the clinical efficacy of traditional excision of involved lymph nodes and functional neck dissection in the treatment of patients with multiple cervical tuberculous lymphadenopathy(MCTLP).Methods From Jan 2006 to May 2008,76 patients with MCTLP who presented with focal liquefaction or sinus formation after ineffective conservative therapy were randomly divided into study group(functional neck dissection) and control group.Data regarding the 3-month recurrence rate,postoperative neck function,the mean hospitalization days and medical costs of the 2 groups were compared.Results There was significant difference in relapse rate 3 months postoperatively between study group(1 case,2.56%) and control group(7 cases,16.22%)(