Item type:Thesis, Open Access

Zur Notwendigkeit der chirurgischen Berücksichtigung der Level I und IIB im Rahmen der Neck Dissection bei Plattenepithelkarzinomen des Oropharynx, des Hypopharynx und des Larynx

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Philipps-Universität Marburg

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Abstract

Neck dissection of level I and level IIb requires time-consuming preparations and is accompanied by heightened morbidity. However, the question arises when dissection at patients suffering from oropharynx-, hypopharynx- or larynx-squamous cell carcinoma can be abandoned without risking deterioration of the resulting oncological outcome. In the present study low rates of metastasis of levels I and IIB in patients with oropharynx-, hypopharnyx and laryinx-caricnoma and clinical N0 neck could have been proven. These findings result in a recommendation of selective neck dissection and conversation of level I and IIB in these cases. Contrary, patients suffering from a oropharynx-, hypopharynx- or larynx-carcinoma and clinical N+ neck had comparatively high rates of metastasis of level I and IIB. Both regions should be included in neck dissection in cases of N+ -situation.

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Esters, Judith: Zur Notwendigkeit der chirurgischen Berücksichtigung der Level I und IIB im Rahmen der Neck Dissection bei Plattenepithelkarzinomen des Oropharynx, des Hypopharynx und des Larynx. : Philipps-Universität Marburg 2009-10-09. DOI: https://doi.org/10.17192/z2009.0560.

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This item has been published with the following license: In Copyright