Para-tracheal neck dissection – is dissection of the upper part of level Ⅵ necessary?

Papillary thyroid carcinoma (PTC) has a high propensity for regional metastases, however, the impact of such metastases on the outcome of the patients is minimal. The central compartment of the neck is considered the first and the most common echelon of metastases from thyroid carcinoma. Physical ex...

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Autores principales:	Avi Khafif, Liron Malka Yosef
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2020
Materias:	Level Ⅵ Paratracheal neck dissection Upper limit of paratracheal neck dissection Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/1e95ed526704485ca88e023eb1b6f569
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spelling	oai:doaj.org-article:1e95ed526704485ca88e023eb1b6f5692021-12-02T13:36:26ZPara-tracheal neck dissection – is dissection of the upper part of level Ⅵ necessary?2095-881110.1016/j.wjorl.2020.02.009https://doaj.org/article/1e95ed526704485ca88e023eb1b6f5692020-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881120300962https://doaj.org/toc/2095-8811Papillary thyroid carcinoma (PTC) has a high propensity for regional metastases, however, the impact of such metastases on the outcome of the patients is minimal. The central compartment of the neck is considered the first and the most common echelon of metastases from thyroid carcinoma. Physical examination along with ultrasonography are the gold standard pre-operative evaluation of patients with PTC. Ultrasonography is highly sensitive in evaluating lateral neck nodes, however, its value in evaluating the central compartment is limited, resulting in a relatively high rate of occult metastases in this compartment. The main potential complications of para-tracheal neck dissection (PTND) are recurrent laryngeal nerve paralysis and hypocalcemia and these may be higher in patients undergoing PTND compared to thyroidectomy alone. New histological data is available showing no evidence of lymph nodes in the central compartment above a level parallel to the inferior border of the cricoid cartilage. These findings support withholding dissection of the upper para-tracheal region routinely as a part of PTND in patients with well-differentiated thyroid cancer. By doing that, the complications may be lower and identical to thyroidectomy alone, thus may abolish arguments against more common use of elective PTND in patients with thyroid carcinoma.Avi KhafifLiron Malka YosefKeAi Communications Co., Ltd.articleLevel ⅥParatracheal neck dissectionUpper limit of paratracheal neck dissectionOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 6, Iss 3, Pp 171-175 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Level Ⅵ Paratracheal neck dissection Upper limit of paratracheal neck dissection Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Level Ⅵ Paratracheal neck dissection Upper limit of paratracheal neck dissection Otorhinolaryngology RF1-547 Surgery RD1-811 Avi Khafif Liron Malka Yosef Para-tracheal neck dissection – is dissection of the upper part of level Ⅵ necessary?
description	Papillary thyroid carcinoma (PTC) has a high propensity for regional metastases, however, the impact of such metastases on the outcome of the patients is minimal. The central compartment of the neck is considered the first and the most common echelon of metastases from thyroid carcinoma. Physical examination along with ultrasonography are the gold standard pre-operative evaluation of patients with PTC. Ultrasonography is highly sensitive in evaluating lateral neck nodes, however, its value in evaluating the central compartment is limited, resulting in a relatively high rate of occult metastases in this compartment. The main potential complications of para-tracheal neck dissection (PTND) are recurrent laryngeal nerve paralysis and hypocalcemia and these may be higher in patients undergoing PTND compared to thyroidectomy alone. New histological data is available showing no evidence of lymph nodes in the central compartment above a level parallel to the inferior border of the cricoid cartilage. These findings support withholding dissection of the upper para-tracheal region routinely as a part of PTND in patients with well-differentiated thyroid cancer. By doing that, the complications may be lower and identical to thyroidectomy alone, thus may abolish arguments against more common use of elective PTND in patients with thyroid carcinoma.
format	article
author	Avi Khafif Liron Malka Yosef
author_facet	Avi Khafif Liron Malka Yosef
author_sort	Avi Khafif
title	Para-tracheal neck dissection – is dissection of the upper part of level Ⅵ necessary?
title_short	Para-tracheal neck dissection – is dissection of the upper part of level Ⅵ necessary?
title_full	Para-tracheal neck dissection – is dissection of the upper part of level Ⅵ necessary?
title_fullStr	Para-tracheal neck dissection – is dissection of the upper part of level Ⅵ necessary?
title_full_unstemmed	Para-tracheal neck dissection – is dissection of the upper part of level Ⅵ necessary?
title_sort	para-tracheal neck dissection – is dissection of the upper part of level ⅵ necessary?
publisher	KeAi Communications Co., Ltd.
publishDate	2020
url	https://doaj.org/article/1e95ed526704485ca88e023eb1b6f569
work_keys_str_mv	AT avikhafif paratrachealneckdissectionisdissectionoftheupperpartoflevelvinecessary AT lironmalkayosef paratrachealneckdissectionisdissectionoftheupperpartoflevelvinecessary
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Para-tracheal neck dissection – is dissection of the upper part of level Ⅵ necessary?

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