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Timing of neck dissection in association with transoral surgery: A systematic review.

TitleTiming of neck dissection in association with transoral surgery: A systematic review.
Publication TypeJournal Article
Year of Publication2017
AuthorsRepanos, C., Mirza A. H., George M., & Karkos P. D.
JournalHead Neck
Volume39
Issue5
Pagination1020-1032
Date Published2017 05
ISSN1097-0347
KeywordsCarcinoma, Squamous Cell, Head and Neck Neoplasms, Humans, Laser Therapy, Neck Dissection, Robotic Surgical Procedures
Abstract

BACKGROUND: The purpose of this study was to present our evaluation of the importance of timing (early vs synchronous vs delayed) in conjunction with transoral laser surgery for head and neck squamous cell carcinoma (HNSCC).METHODS: Articles addressing surgical management via transoral laser surgery for HNSCC were included for review.RESULTS: Twenty-six articles fulfilled our criteria. The overall 5-year disease-specific survival (DSS) was 75.6% (95% confidence interval [CI], 67.3-83.9) and locoregional control was 87.3% (95% CI, 82.3-92.1), respectively. In the synchronous neck dissection group, the mean locoregional control was 89.9% (95% CI, 84.8-95.1) versus 84.5% (95% CI, 56.2-112.7) for the delayed neck dissection group. From studies in which complications were explicitly given, a bleeding rate of 5.3% (95% CI, 3.6-6.9) was established. There were 11.1% of patients who underwent a tracheostomy.CONCLUSION: There is no evidence to indicate that timing of neck dissection after transoral laser surgery for HNSCC has any effect on overall survival (OS). © 2016 Wiley Periodicals, Inc. Head Neck, 2016 © 2016 Wiley Periodicals, Inc. Head Neck 39: 1020-1032, 2017.

DOI10.1002/hed.24680
Alternate JournalHead Neck
PubMed ID28032684

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