[Effectiveness of therapeutic (NI, N2) modified radical neck dissection (MRND) in patients with laryngeal cancer].
OBJECTIVE
Efficacy of modified radical neck dissection in treatment of laryngeal cancer with node positive neck.


METHODS
Retrospective analysis of 311 patients treated with modified radical (86) or radical (225) neck dissection. Recurrence rates, local and regional, after both operations and 5-year disease free survival (Kaplan-Meier method) were analyzed.


RESULTS
Regional recurrence rates in N1 group after MRND were 3% and 13% after RND. In N2 group 13% and 16% respectively. 5-year survival after MRND in N1 group was 73% compared with 60% after RND. In N2 group 5-year survival was 56% and 47%.


CONCLUSIONS
We consider MRND as effective treatment method of node positive neck in N1 and N2 stage compared to RND with less morbidity.
Osmólski
Robert
R
Klinika Otolaryngologii CMKP, Szpital Bródnowski, Warszawa. rosm@amwaw.edu.pl
Osmólski
Antoni
A
Frenkiel
Zofia
Z
Fedorowicz
Małgorzata
M
Adamiak
Grzegorz
G
D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000379:methods*; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome