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Functional neck dissection: cure and functional results

Published online by Cambridge University Press:  29 June 2007

Ercihan Güney
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Erciyes University Medical Faculty, Kayseri, Turkey.
O. Gazi Yigitbaşi*
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Erciyes University Medical Faculty, Kayseri, Turkey.
Kürşat Canöz
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Erciyes University Medical Faculty, Kayseri, Turkey.
Mustafa ÖZtürk
Affiliation:
Department of Radiology, Erciyes University Medical Faculty, Kayseri, Turkey.
Ali Ersoy
Affiliation:
Department of Neurology, Erciyes University Medical Faculty, Kayseri, Turkey.
*
Address for correspondence: Dr O. Gazi Yigitbaşi Millet cad. Belediye Durmaz iş Hani, Analiz Tani Merkezi, Kat: 3, No. 305, Kayseri, Turkey. Fax: 00 90 352 2227564

Abstract

In this study, the cure and functional results of 133 functional neck dissections performed between 1992–1997 in Erciyes University Medical Faculty were evaluated. The overall recurrence rate was three per cent. This rate was 1.4 per cent for elective functional neck dissections and five per cent for curative functional neck dissections. Electromyographic studies showed that there was severe neurogenic deficit in the trapezius muscle of seven patients (12.5 per cent), and in the sternocleidomastoid muscle of 12 patients (21.4 per cent) among 56 randomly selected patients. In all cases, the flow rate and diameter of the internal jugular vein was found to be normal by Doppler ultrasonography. The results of this study showed that functional neck dissection is a reliable technique for obtaining a high cure rate and functional results.

Keywords

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1998

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