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Other Complications Related to Neck Dissection

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Complications in Neck Dissection

Abstracts

There are well-known complications when it comes to neck dissections. However, lesser known complications do arise, and it is important to manage them appropriately. In this chapter, we discuss the complications that are less common but are sure to arise on any head and neck surgery service.

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References

  1. Khuri SF, Daley J, Henderson W, et al. National VA surgical quality improvement program. The Department of Veterans Affairs’ NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. Ann Surg. 1998;228(4):491–507.

    Article  CAS  Google Scholar 

  2. Ma Y, Laitman B, Patel V, et al. Assessment of the NSQIP surgical risk calculator in predicting microvascular head and neck reconstruction outcomes. Head Neck. 2018;160:100–6.

    Google Scholar 

  3. Lewis C, Aloia T, Shi W, et al. Development and feasibility of a specialty-specific surgical quality improvement program (NSQIP): the head and neck-reconstructive surgery NSQIP. JAMA Oto. 2016;142(4):321–7.

    Google Scholar 

  4. Gibbs J, Cull W, Henderson W, et al. Preoperative serum albumin level as a predictor of operative mortality and morbidity. JAMA Surg. 1999;134(1):36–42.

    CAS  Google Scholar 

  5. Shum J, Markiewicz M, Park E, et al. Low prealbumin level is a risk factor for microvascular free flap failure. J Oral Maxillofac Surg. 2014;72:169–77.

    Article  Google Scholar 

  6. Sorensen L. Wound healing and infection in surgery: the clinical impact of smoking and smoking cessation: a systematic review and meta-analysis. JAMA Surg. 2012;147(4):373–83.

    Google Scholar 

  7. Chan Y, Irish J, Wood S, et al. Smoking cessation in patients diagnosed with head and neck cancer. Head Neck. 2004;33(2):75–81.

    Google Scholar 

  8. Spyropoulos AC, Douketis JD. How I treat anticoagulated patients undergoing elective procedure or surgery. Blood. 2012;120:2954–62.

    Article  CAS  Google Scholar 

  9. Jethwa A, Khariwala S. When should therapeutic anticoagulation be restarted following major head and neck surgery? Laryngoscope. 2017;128(5):1025–6.

    Article  Google Scholar 

  10. Sinard R, Tobin E, Mazzaferri E, et al. Hypothyroidism after treatment for nonthyroid head and neck cancer. Arch Otolaryngol Head Neck Surg. 2000;126:652–7.

    Article  CAS  Google Scholar 

  11. Kim R, Burkes J, Williams F. Predicting quality of life (QoL) of oral cancer. In: Kademani D, editor. Improving outcomes in oral cancer: a clinical and translational update: Springer International Publishing: Switzerland; 2020. p. 181–9.

    Google Scholar 

  12. Carroll WR, Locher JL, Canon CL, Bohannon IA, McColloch NL, Magnuson JS. Pretreatment swallowing exercises improve swallow function after chemoradiation. Laryngoscope. 2008;118:39–43.

    Article  Google Scholar 

  13. Roe JW, Ashforth KM. Prophylactic swallowing exercise for patients receiving radiotherapy for head and neck cancer. Curr Opin Otolaryngol Head Neck Surg. 2011;19:144–9.

    Article  Google Scholar 

  14. Kerawala CJ, Heliotos M. Prevention of complications in neck dissection. Head Neck Oncol. 2009;1(35):1–6.

    Google Scholar 

  15. Busoni M, Deganello A, Gallo O. Pharyngocutaneous fistula following total laryngectomy: analysis of risk factors, prognosis, and treatment modalities. ACTA Otorhinolaryngol. 2015;35:400–5.

    CAS  Google Scholar 

  16. Satyadas T, Nasir N, Erel E, Mudan S. Iatrogenic tracheal rupture: a novel approach to repair and review of the literature. J Trauma. 2003;54:369–71.

    Article  CAS  Google Scholar 

  17. Tarabanic C, Abt N, Osborn H. Intraoperative cardiac arrest etiologies in head and neck surgery: a compregensive review. Head Neck. 2018;40:1299–304.

    Article  Google Scholar 

  18. Higuchi H, Ishii M, Nakatsuka H, Maeda S, Morita K, Miyawaki T. Sudden cardiac arrest in head and neck surgery: a case report. J Anesth. 2010;24:146–7.

    Article  Google Scholar 

  19. Cramer J, Patel U, Maas M, Samant S, Smith S. Is neck dissection associated with an increased risk of postoperative stroke? Otolaryngol Head Neck Surg. 2017;157(2):226–32.

    Article  Google Scholar 

  20. Thompson S, Mckinnon G, Ghali W. Perioperative stroke occurring in patients who undergo neck dissection for head and neck cancer: unanswered questions. Can J Surg. 2003;46(5):332–4.

    PubMed  PubMed Central  Google Scholar 

  21. Rochester C, Mohsenin V. Respiratory complications of stroke. Semin Respir Crit Care Med. 2002;22(3):248–60.

    Article  Google Scholar 

  22. Wira C, Rivers E, Martinez-Capolino C, Silver B, Iyer G, Sherwin R, Lewandowski C. Cardiac complications in acute ischemis stroke. West J Emerg Med. 2001;12(4):414–20.

    Article  Google Scholar 

  23. Gordy S, Rowell S. Vascular air embolism. Int J Crit Illn Inj Sci. 2013;3(1):73–6.

    Article  Google Scholar 

  24. Genden E, Ferlito A, Shaha A, Talmi Y, Robbins T, Rhys-Evans P, Rinaldo A. Complications of neck dissection. Acta Otolaryngol. 2003;123:795–801.

    Article  Google Scholar 

  25. Maharaj S, Mungul S, Laher A. Botulinum toxin A is an effective therapeutic tool for the management of parotid sialocele and fistula: a systematic review. Laryngoscope Investig Otolaryngol. 2020;5:37–45.

    Article  Google Scholar 

  26. Kudva A, Carriappa K, Kamath A, Chithra A. Compression dressing using dental impression compound for conservative management of sialocele. J Maxillofac Oral Surg. 2016;15(4):555–7.

    Article  Google Scholar 

  27. Huang Y, Huang H, Li Q, Browning R, Parrish S, Turner F, Zarogoulidis K, Kougioumtzi I, Dryllis G, Kioumis I, Pitsiou G, Machairiotis N, Katsikogiannis N, Courcoutsakis N, Madesis A, Diplaris K, Karaiskos T, Zarogoulidis P. Approach of the treatment for pneumothorax. J Thorac Dis. 2014;6:s416–20.

    PubMed  PubMed Central  Google Scholar 

  28. Mumtaz S, Parrish J, Singh M. Oculosympathetic paresis after selective neck dissection: a “distant” complication. Oral Oncol. 2018;79:78–9.

    Article  CAS  Google Scholar 

  29. Bucci T, Califano L. Bernard-Horner’s syndrome: unusual complication after neck dissection. JOMS. 2008;66(4):833.

    Google Scholar 

  30. Gutierrez C, Karni R, Naqvi S, Aldrich M, Zhu B, Morrow R, Sevick-Muraca E, Rasmussen J. Head and neck lymphedema: treatment response to single and multiple sessions of advanced pneumatic compression therapy. Otolaryngol Head Neck Surg. 2019;160(4):622–6.

    Article  Google Scholar 

  31. Smith B, Hutcheson K, Little L, Skoracki R, Rosenthal D, Lai S, Lewin F. Lymphedema outcomes in patients with head and neck cancer. Otolaryngol Head Neck Surg. 2015;152(2):284–91.

    Article  Google Scholar 

  32. Busquets J, Rullan P, Trinidad-Pinedo J. Bilateral chylothorax after neck dissection. Otolaryngol Head Neck Surg. 2004;130(4):492–5.

    Article  Google Scholar 

  33. Majdalany B, El-Haddad G. Contemporary lymphatic interventions for post-operative lymphatic leaks. Transl Androl Urol. 2020;9:s104–13.

    Article  Google Scholar 

  34. Raguse J, Pfitzmann R, Bier J, Klein M. Lower-extremity lymphedema following neck dissection – an uncommon complication after cervical ligation of the thoracic duct. Oral Oncol. 2007;43:835–7.

    Article  Google Scholar 

  35. Bressan V, Stevanin S, Bianchi M, Aleo G, Bagnasco A, Sasso L. The effects of swallowing disorders, dysgeusia, oral mucositis and xerostomia on nutritional status, oral intake and weight loss in head and neck cancer patients: a systemic review. Cancer Treat Rev. 2016;45:105–19.

    Article  Google Scholar 

  36. Jaguar G, Lima E, Kowalski L, Pellizon A, Carvalho A, Alves F. Impact of submandibular gland excision on salivary gland function in head and neck cancer patients. Oral Oncol. 2010;46:349–54.

    Article  CAS  Google Scholar 

  37. Subramaniam N, Balasubramanian D, Reddy R, Rathod P, Murthy S, Vidhyadharan S, Thankappan K, Iyer S. Determinants of level Ib involvement in oral squamous cell carcinoma and implications for submandibular gland-sparing neck dissection. Int J Oral Maxillofac Surg. 2018;47:1507–10.

    Article  CAS  Google Scholar 

  38. Mercadante V, Hamad A, Lodi G, Porter S, Fedele S. Interventions for the management of radiotherapy-induced xerostomia and hyposalivation: a systematic review and meta-analysis. Oral Oncol. 2017;66:64–74.

    Article  Google Scholar 

  39. Cantemir S, Laubert A. Diagnostics and therapy of dysphagia. ENT. 2017;65:347–56.

    CAS  Google Scholar 

  40. Gessert T, Britt C, Maas A, Wieland A, Harari P, Hartig G. Chondroradionecrosis of the larynx: 24-year University of Wisconsin experience. Head Neck. 2017;39:1189–94.

    Article  Google Scholar 

  41. Moolenburgh S, van Huizum M, Hofer S. DIEP-flap failure after pedicle division three years following transfer. Br J Plast Surg. 2005;58:1000–3.

    Article  CAS  Google Scholar 

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Correspondence to Roderick Y. Kim .

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Kim, R.Y., Wentland, T.R., Hammer, D.A., Williams, F.C. (2021). Other Complications Related to Neck Dissection. In: Schlieve, T., Zaid, W. (eds) Complications in Neck Dissection. Springer, Cham. https://doi.org/10.1007/978-3-030-62739-3_8

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  • DOI: https://doi.org/10.1007/978-3-030-62739-3_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-62738-6

  • Online ISBN: 978-3-030-62739-3

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