Open Access
CC BY-NC-ND 4.0 · Laryngorhinootologie 2019; 98(S 02): S229
DOI: 10.1055/s-0039-1685752
Poster
Neck

Complications of Neck dissection in tumor surgery interventions

V Rodau
1   HNO UKSH Kiel/SKD, Kiel
,
S Knipping
2   SKD HNO, Dessau
› Author Affiliations
 
 

    Introduction:

    The neck dissection plays a decisive role in tumor surgery as a completing measure. It was the aim of our retrospective study to investigate the frequency and type of complications in neck dissection as a function of patient-related factors.

    Methods:

    Based on the evaluation of pseudonymized data from 405 patients who underwent neck dissection in the 6-year period at the Städtisches Klinikum Dessau, the population was examined in addition to the complication rate with regard to possible influencing factors.

    Results:

    The complication rate was 23.21%. Lymphedema (5.68%), thoracic duct lesions (3.95%), rebleeding (3.70%), and wound healing disorders (2.47%) were leading. Vascular and nerve lesions were rare. Dependence of the complication rate on clinical constellation was demonstrated for alcohol history and for N status. The extended-radical neck dissection was more associated with complications than the other techniques.

    Discussion:

    The complication rate is significantly dependent on the extent of resection. Overall, these were manageable complications that were still treated intraoperatively. The assumption of a correlation between comorbidity and the occurrence of complications could not be statistically reproduced. The trend toward functional surgical techniques can significantly reduce the complication rate.


    Valerie Rodau
    HNO UKSH Kiel,
    Arnold-Heller-Str., 3, 24105
    Kiel

    Publication History

    Publication Date:
    23 April 2019 (online)

    © 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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