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dc.contributor.authorHemmat, Shirin
dc.contributor.authorWang, Steven
dc.contributor.authorRyan, William
dc.date.accessioned2019-01-28T22:54:02Z
dc.date.available2019-01-28T22:54:02Z
dc.date.issued2017-01
dc.identifier.citationM Hemmat, Shirin & Wang, Steven & Ryan, William. (2016). Neck Dissection Technique Commonality and Variance: A Survey on Neck Dissection Technique Preferences among Head and Neck Oncologic Surgeons in the American Head and Neck Society. International Archives of Otorhinolaryngology. 21. 10.1055/s-0036-1592153.en_US
dc.identifier.issn1809-9777
dc.identifier.issn1809-4864
dc.identifier.pmid28050201
dc.identifier.doi10.1055/s-0036-1592153
dc.identifier.urihttp://hdl.handle.net/10150/631589
dc.description.abstractIntroduction Neck dissection (ND) technique preferences are not well reported. Objective The objective of this study is to educate practitioners and trainees about surgical technique commonality and variance used by head and neck oncologic surgeons when performing a ND. Methods Online survey of surgeon members of the American Head and Neck Society (AHNS). Survey investigated respondents' demographic information, degree of surgical experience, ND technique preferences. Results In our study, 283 out of 1,010 (28%) AHNS surgeon members with a mean age of 50.3 years (range 32-77 years) completed surveys from 41 states and 24 countries. We found that 205 (72.4%) had completed a fellowship in head and neck surgical oncology. Also, 225 (79.5%) respondents reported completing more than 25 NDs per year. ND technique commonalities (>66% respondents) included: preserving level 5 (unless with suspicious lymph nodes (LN)), only excising the portion of sternocleidomastoid muscle involved with tumor, resecting lymphatic tissue en bloc, preservation of cervical sensory rootlets, not performing submandibular gland (SMG) transfer, placing one drain for unilateral selective NDs, and performing a ND after parotidectomy and thyroidectomy and before transcervical approaches to upper aerodigestive tract primary site. Variability existed in the sequence of LN levels excised, instrument preferences, criteria for drain removal, the timing of a ND with transoral upper aerodigestive tract primary site resections, and submandibular gland preservation. Results showed that 122 (43.1%) surgeons reported that they preserve the submandibular gland during the level 1b portion of a ND. Conclusions The commonalities and variances reported for the ND technique may help put individual preferences into context.en_US
dc.language.isoenen_US
dc.publisherGEORG THIEME VERLAG KGen_US
dc.relation.urlhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1592153en_US
dc.rightsCopyright © 2017 by Thieme-Revinter Publicações Ltda, Rio de Janeiro, Brazil.en_US
dc.subjectneck dissectionen_US
dc.subjectgraduate medical educationen_US
dc.subjectsurvey and questionnairesen_US
dc.subjectsurgical instrumentsen_US
dc.titleNeck Dissection Technique Commonality and Variance: A Survey on Neck Dissection Technique Preferences among Head and Neck Oncologic Surgeons in the American Head and Neck Societyen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Dept Otolaryngol Head & Neck Surgen_US
dc.identifier.journalINTERNATIONAL ARCHIVES OF OTORHINOLARYNGOLOGYen_US
dc.description.noteOpen access journal.en_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal published versionen_US
dc.source.journaltitleInternational Archives of Otorhinolaryngology
dc.source.volume21
dc.source.issue01
dc.source.beginpage8
dc.source.endpage16
refterms.dateFOA2019-01-28T22:54:02Z


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