Transsternal radical neck dissection. Postoperative complications and management.
In 1962, Sisson et al reported the use of the transsternal radical neck dissection for carcinoma recurring in the peristomal area after laryngectomy. We have performed over 50 transsternal radical neck dissections in the past 14 years. A significant number of early cases succumbed to the postoperative problems of fistula, infection, and large vessel rupture. Our two cases illustrate intraoperative and postoperative complications. Management of these complications is discussed. Morbidity and mortality has decreased as we have gained experience in the management of these problems.
D000783:Aneurysm / Q000209:etiology; D016122:Brachiocephalic Trunk / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002339:Carotid Arteries / Q000601:surgery; D004947:Esophagus / Q000601:surgery; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy; D008026:Ligation; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D009336:Necrosis; D011183:Postoperative Complications / Q000601:surgery / Q000628:therapy*; D011312:Pressure; D012008:Recurrence; D013348:Subclavian Artery / Q000601:surgery