Tag Archives: neck dissection

Otolaryngology, Print Release

PUBLISHED: Subtotal Parotidectomy and Unilateral Lateral Neck Dissection (Levels II, III, and IV) for Right Parotid Mucoepidermoid Carcinoma Involving the Deep and Superficial Lobes and Extending into Parapharyngeal Space

Subtotal Parotidectomy and Unilateral Lateral Neck Dissection (Levels II, III, and IV) for Right Parotid Mucoepidermoid Carcinoma Involving the Deep and Superficial Lobes and Extending into Parapharyngeal Space
Veenadhari Kollipara, BA1,2; Kunal A. Koka, BS1,2; Quentin C. Durfee, BS1; Emily K. Funk, MD1,2; Neerav Goyal, MD, MPH, FACS1,2; Guy Slonimsky, MD1,2
1Penn State College of Medicine
2Penn State Health Milton S. Hershey Medical Center

Mucoepidermoid carcinoma (MEC) is the most common malignant tumor of the salivary glands, predominantly affecting the parotid gland. It commonly presents as a painless neck mass. Diagnostic workup includes physical examination, imaging, and fine needle aspiration biopsy. Superficial, subtotal, or total parotidectomy, with or without neck dissection and possible adjuvant radiation therapy, is recommended in most cases according to tumor stage, grade, and adverse pathological features. In the case presented here, subtotal parotidectomy with facial nerve preservation and neck dissection followed by adjuvant radiation therapy was elected. Post-treatment imaging at three-month intervals showed no evidence of persistent disease. The attached video demonstrates subtotal right parotidectomy via combined anterograde and retrograde nerve dissection and right selective neck dissection of levels IIa, IIb, III, and IV.

General Surgery, Print Release

PUBLISHED: Left Lateral Neck Dissection for Metastatic Papillary Thyroid Carcinoma

Left Lateral Neck Dissection for Metastatic Papillary Thyroid Carcinoma
Sarah A. Brownlee, MD; Allison S. Letica-Kriegel, MD, MSc; Antonia E. Stephen, MD
Massachusetts General Hospital

Papillary thyroid carcinoma frequently metastasizes to lateral neck lymph nodes, necessitating compartment-based lymph node dissection following initial thyroidectomy. Surgical education videos provide valuable resources for training surgeons in complex neck dissection techniques. A detailed surgical procedure was documented in a patient with biopsy-proven metastatic papillary thyroid carcinoma in level IV lymph nodes following prior total thyroidectomy and central neck dissection. A compartment-based dissection of levels IIb, III, and IV was performed with preservation of vital neurovascular structures. The procedure was successfully completed with removal of metastatic lymph nodes while preserving the critically important physiological structures throughout the dissection.

General Surgery, Otolaryngology, Print Release

PUBLISHED: Bilateral Modified Radical Neck Dissection for Metastatic Papillary Thyroid Carcinoma

Bilateral Modified Radical Neck Dissection for Metastatic Papillary Thyroid Carcinoma
Courtney Gibson, MD, MS, FACS; Tobias Carling, MD, PhD, FACS
Yale School of Medicine

Radical neck dissection was once the standard of care for the surgical management of patients with thyroid cancer and cervical lymph node metastases. However, due to the significant morbidity of this procedure, the development of cervical lymphadenectomy procedures that could provide oncologic cure while minimizing morbidity was undertaken by many surgeons. Such an investigation has led to the development of the modified radical neck dissection (MRND). Still, many institutions are not familiar with performing a comprehensive MRND in the setting of thyroid cancer metastatic to the lateral lymph node compartments. This article presents such an operation under general anesthesia.

OMFS, Print Release

PUBLISHED: Treatment of Squamous Cell Carcinoma from the Posterior Maxilla with Wide Local Excision of the Tumor and Total Alveolectomy, Reconstruction with a Buccal Fat Pad Advancement, Placement of a Surgical Obturator, and an Ipsilateral Supraomohyoid Neck Dissection

Treatment of Squamous Cell Carcinoma from the Posterior Maxilla with Wide Local Excision of the Tumor and Total Alveolectomy, Reconstruction with a Buccal Fat Pad Advancement, Placement of a Surgical Obturator, and an Ipsilateral Supraomohyoid Neck Dissection
Daniel Oreadi, DMD
Tufts University

Surgery has been the first line of treatment for oral cavity cancer. After appropriate workup, the decision to include an ipsilateral or bilateral neck dissection is made. The patient presented here was diagnosed with a posterior maxillary alveolar tumor. The treatment plan included wide local excision of the tumor with total alveolectomy, reconstruction with a buccal fat pad advancement, and placement of surgical obturator. Additionally, an ipsilateral supraomohyoid neck dissection was performed due to the relative risk of regional metastases.

Announcement, Content, General Surgery, Preprint Release

PREPRINT RELEASE: Bilateral Modified Radical Neck Dissection

Bilateral Modified Radical Neck Dissection
Smilow Cancer Hospital at Yale New Haven

Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
Yale School of Medicine

In 2014, a now 61-year-old male had a total thyroidectomy and central neck dissection for bilateral papillary thyroid cancer with extrathyroidal extension. Now, after presenting with recurrent metastatic papillary thyroid cancer, Dr. Tobias Carling performs a bilateral modified radical neck dissection.