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Timing of neck dissection in association with transoral surgery: A systematic review
Author(s) -
Repanos Costa,
Mirza Adal H.,
George Michael,
Karkos Petros D.
Publication year - 2017
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.24680
Subject(s) - medicine , neck dissection , head and neck squamous cell carcinoma , surgery , confidence interval , head and neck , dissection (medical) , head and neck cancer , basal cell , transoral robotic surgery , overall survival , carcinoma , radiation therapy
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