Rational surgical neck management in total laryngectomy for advanced stage laryngeal squamous cell carcinomas

• DOI: 10.1007/s00432-020-03352-1
• Publication Date: 2020-08-18T09:05:48Z
• Authors: Arne Böttcher; Christian S. Betz; Stefan Bartels; Bjoern Schoennagel; Adrian Münscher; Lara Bußmann; Chia-Jung Busch; Steffen Knopke; Eric Bibiza; Nikolaus Möckelmann
• Keywords: Neck dissection; T-stage

Abstract Purpose Controversies exist in regard to surgical neck management total laryngectomies (TL). International guidelines do not sufficiently discriminate sides and sublevels, or minimal neck-dissection nodal yield (NY). Methods Thirty-seven consecutive primary TL cases from 2009 2019 were retrospectively analyzed terms of local tumor growth using a previously established imaging scheme, metastatic involvement, NY impact on survival. Results There was no case level IIB involvement any side. For type A B midline positive contralateral lymph nodes found. Craniocaudal extension correlated with (OR: 1.098, p = 0.0493) showed increased when extending 33 mm ( 0.0134). Using bilateral ≥ 24 for 5-year overall survival (OS) 26 disease-free (DFS) gave significantly rate advantages 64 56%, respectively (both < 0.0001). Conclusions This work sheds light regional distribution pattern its influence cases. An n can be considered desirable benchmark selective dissections as it leads improved OS DFS. Therefore, an omission distinct levels cannot promoted at this time.