Department of Otorhinolaryngology - Head & Neck Surgery, Hospital Universitario Donostia, Guipuzkoa, Basque Country, San Sebastián, Spain.
ORL J Otorhinolaryngol Relat Spec. 2021;83(5):372-380. doi: 10.1159/000514459. Epub 2021 May 19.
Functional neck dissection (FND) represents a surgical procedure usually associated with less morbidity.
An observational, retrospective, analysis of patients diagnosed with any type of head and neck malignancy was designed to summarize and report the incidence of postoperative complications in patients undergoing FND including just those levels described for selective neck dissections in a tertiary university hospital between June 2016 and June 2019.
131 patients met the inclusion criteria. The total number of sides studied was 200. 40.5% of the patients suffer a complication in the postoperative period, being the spinal accessory nerve (SAN) injury the most common complication (10%). We did not find any statistical -correlation between the previous organ-preservation treatments and surgical complications (p = 0.207). An advanced T stage (p = 0.009) and the need of bilateral FND (p = 0.034) were significantly correlated with a higher risk of surgical complications.
FND represents a useful technique. In this study, 40.5% of the patients suffer a complication in the postoperative period, being the SAN injury the most common complication. However, these data contribute to increasing our knowledge about surgical complications related to FND.
功能性颈清扫术（FND）代表了一种通常与较低发病率相关的手术程序。
设计了一项观察性、回顾性的分析，纳入了所有类型头颈部恶性肿瘤的患者，旨在总结和报告在三级大学医院中进行 FND 的患者术后并发症的发生率，包括仅对选择性颈清扫术所描述的那些水平。该研究纳入了 2016 年 6 月至 2019 年 6 月间的患者。
共有 131 名患者符合纳入标准，共研究了 200 侧。术后共有 40.5%的患者发生并发症，其中最常见的并发症是副神经（SAN）损伤（10%）。我们未发现先前的器官保留治疗与手术并发症之间存在统计学相关性（p = 0.207）。高级 T 分期（p = 0.009）和双侧 FND 的需要（p = 0.034）与手术并发症的风险增加显著相关。
FND 是一种有用的技术。在本研究中，40.5%的患者在术后发生并发症，其中 SAN 损伤是最常见的并发症。然而，这些数据有助于增加我们对与 FND 相关的手术并发症的认识。
