Management of the "violated Neck" in the era of chemoradiation

Myriam Loyo, Jonas T. Johnson, William H. Westra, Simion I. Chiosea, Christine G. Gourin

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objectives: To determine if patients who have undergone an open neck biopsy (a "violated" neck) have improved disease control and survival with completion neck dissection. Materials and Methods: Retrospective review of patients who underwent open cervical biopsy for diagnosis prior to definitive treatment between February 1997 and February 2010 at two academic tertiary referral centers. Results: Ninety-four patients met study criteria, with completion neck dissection performed in 53 patients (56%). The majority of patients (84%) had oropharyngeal tumors. Human papilloma virus (HPV) status was positive in 55 of 63 patients (87%). Chemotherapy was used more often in patients treated nonoperatively (88%) compared to patients who underwent neck dissection (49%; P

Original languageEnglish (US)
Pages (from-to)2349-2358
Number of pages10
JournalLaryngoscope
Volume121
Issue number11
DOIs
StatePublished - Nov 2011
Externally publishedYes

Fingerprint

Neck
Neck Dissection
Papillomaviridae
Biopsy
Tertiary Care Centers
Drug Therapy
Survival
Neoplasms

Keywords

  • cervical biopsy
  • Cervical metastases
  • Level of Evidence: 2b.
  • neck dissection
  • radiation
  • squamous cell cancer
  • surgery
  • violated neck

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Loyo, M., Johnson, J. T., Westra, W. H., Chiosea, S. I., & Gourin, C. G. (2011). Management of the "violated Neck" in the era of chemoradiation. Laryngoscope, 121(11), 2349-2358. https://doi.org/10.1002/lary.22186

Management of the "violated Neck" in the era of chemoradiation. / Loyo, Myriam; Johnson, Jonas T.; Westra, William H.; Chiosea, Simion I.; Gourin, Christine G.

In: Laryngoscope, Vol. 121, No. 11, 11.2011, p. 2349-2358.

Research output: Contribution to journalArticle

Loyo, M, Johnson, JT, Westra, WH, Chiosea, SI & Gourin, CG 2011, 'Management of the "violated Neck" in the era of chemoradiation', Laryngoscope, vol. 121, no. 11, pp. 2349-2358. https://doi.org/10.1002/lary.22186
Loyo M, Johnson JT, Westra WH, Chiosea SI, Gourin CG. Management of the "violated Neck" in the era of chemoradiation. Laryngoscope. 2011 Nov;121(11):2349-2358. https://doi.org/10.1002/lary.22186
Loyo, Myriam ; Johnson, Jonas T. ; Westra, William H. ; Chiosea, Simion I. ; Gourin, Christine G. / Management of the "violated Neck" in the era of chemoradiation. In: Laryngoscope. 2011 ; Vol. 121, No. 11. pp. 2349-2358.
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