Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Republic of Korea.
Head Neck. 2014 Mar;36(3):425-30. doi: 10.1002/hed.23308. Epub 2013 Jun 1.
Based on our previous experiences with endoscopic or robotic neck surgery utilizing the retroauricular (RA) or modified facelift (MFL) approach, we realized the value of verifying the feasibility of endoscopic supraomohyoid neck dissection (SOND). Therefore, the purpose of this study was to evaluate the potential role of endoscopic SOND.
Six patients who underwent elective endoscopic SOND of the ipsilateral neck for biopsy proven head and neck cancer from January 2011 to February 2012 were analyzed.
All endoscopic operations via RA or MFL were successfully performed without any significant intraoperative complications or conversion to open surgery. Based on patient-reported outcome questionnaires, all patients were satisfied with the cosmetic surgical outcomes.
Endoscopic selective neck dissection via an RA or an MFL approach is technically feasible and safe with satisfactory cosmetic results for patients with clinically node-negative early-stage head and neck cancer.
基于我们之前在经耳后（RA）或改良面颈部提升术（MFL）入路行内镜或机器人颈部手术的经验，我们认识到验证内镜下咽上颈淋巴结清扫术（SOND）可行性的价值。因此，本研究旨在评估内镜 SOND 的潜在作用。
分析了 2011 年 1 月至 2012 年 2 月期间，6 例因头颈部癌症经活检证实而行选择性同侧内镜 SOND 的患者。
所有 RA 或 MFL 内镜手术均顺利完成，无明显术中并发症或转为开放手术。根据患者报告的结果调查问卷，所有患者对美容手术结果均满意。
对于临床淋巴结阴性的早期头颈部癌症患者，经 RA 或 MFL 入路行内镜选择性颈淋巴结清扫术在技术上是可行的，且安全，美容效果令人满意。
