[Clinical comparison of bilateral neck dissection for supraglottic carcinoma].
OBJECTIVE
In order to rise the survival rate and quality of life, the patients with bilateral neck dissection was investigated in supraglottic carcinoma.


METHODS
76 cases were retrospectively analyzed. In terms of clinical diagnosis, 33 cases who had bilateral neck metastasis had received simultaneously bilateral neck dissection. 43 patients first diagnosed unilateral neck metastasis got subsequent bilateral neck dissection. All of the patients were pathologically diagnosed.


RESULTS
The 3 and 5 year survival rates, in the 33 cases who had received simultaneous bilateral neck dissection, were 81.5% (22/27) and 61.5%(16/26) respectively, while in the other 43 cases, was 69.2%(27/39) and 27.8%(10/36) respectively.


CONCLUSIONS
It is necessary for those patients who have suffered from supraglottic carcinoma with bilateral neck metastasis to have simultaneous bilateral neck dissections. Meanwhile, the preservation of bilateral internal jugular veins is the best choice, at least one should be preserved.
Li
Z
Z
Liaoning Tumour Hospital, Shenyang 110042.
Li
S
S
Liu
W
W
Cui
W
W
D000328:Adult; D000368:Aged; D005260:Female; D005931:Glottis / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000379:methods*; D012189:Retrospective Studies; D015996:Survival Rate