Impact of Lymph Node Yield in Patients Undergoing Total Laryngectomy and Neck Dissection.

Authors

• Michael C Topf
• Ramez Philips
• Joseph Curry
• Linda C Magana
• Madalina Tuluc
• Voichita Bar-Ad
• William Keane
• Richard A Goldman
• Adam Luginbuhl
• David Cognetti

Publication/Presentation Date

6-1-2021

Abstract

OBJECTIVES: To determine the impact of lymph node yield (LNY) in patients undergoing neck dissection at the time of total laryngectomy (TL). To determine the impact of radiation therapy (RT) on LNY.

METHODS: Retrospective review of LNY and clinical outcomes in 232 patients undergoing primary or salvage total laryngectomy (TL) with ND.

RESULTS: Preoperative RT significantly decreased mean LNY from 31.7 to 23.9 nodes (

CONCLUSIONS: Radiotherapy significantly reduces LNY in patients undergoing TL and ND. Within a single institution cohort, positive margins, but not LNY, is associated with survival in both primary and salvage TL patients.

Volume

130

Issue

6

First Page

591

Last Page

601

ISSN

1943-572X

Published In/Presented At

Topf, M. C., Philips, R., Curry, J., Magana, L. C., Tuluc, M., Bar-Ad, V., Keane, W., Goldman, R. A., Luginbuhl, A., & Cognetti, D. (2021). Impact of Lymph Node Yield in Patients Undergoing Total Laryngectomy and Neck Dissection. The Annals of otology, rhinology, and laryngology, 130(6), 591–601. https://doi.org/10.1177/0003489420964824

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

33412910

Department(s)

Administration and Leadership

Document Type

Article