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Bilateral radical neck dissection
Affiliation:1. School of Medicine, University of California-San Francisco, San Francisco, CA;2. Division of Head and Neck Oncologic and Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, CA;1. Department of Otolaryngology – Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina;2. Department of General Surgery, University of North Carolina, Chapel Hill, North Carolina;1. Department of Otolaryngology Head and Neck Surgery, Montefiore Medical Center, The Albert Einstein College of Medicine, Bronx, NY;2. Department of General Surgery, Division of Otolaryngology Head and Neck Surgery, The Albert Einstein College of Medicine, Bronx, NY
Abstract:The management of the patient with bilateral metastases to the cervical lymph nodes has been discussed. Nine patients were subjected to complete bilateral radical neck dissection, four of which were performed in one stage, without operative mortality or serious postoperative morbidity. No significant complications attributable to venous engorgement or increased pressure of the cerebrospinal fluid have been noted. Simultaneous bilateral radical neck dissection is a procedure of limited applicability, but is fully justified in selected patients with potentially curable bilateral metastases to the cervical lymph nodes.
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