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We report a series of 37 patients who had radical neck dissection for residual or recurrent lymph node metastasis from nasopharyngeal carcinoma after radiotherapy. The operation was performed despite high doses of pre-operative radiotherapy. There was no operative mortality and the morbidity was 13% (2 prolonged chylous drainage, 3 sloughing of neck flap). The risk of sloughing of neck flap was significantly related to previous lymph node biopsy, which should be avoided if at all possible. In 35% of patients, the lymph node was densely adherent to neighbouring structures. In the 28 patients who had single lymph node clinically, 29% had multiple neck node involvement noted during operation; another 14% were documented only on histological examination. Radical neck dissection rather than excision alone is justified for the clinically solitary lymph node.
C M Ho, and
W I Wei, and
J S Sham, and
S K Lau, and
K H Lam
October 2014,
Auris, nasus, larynx,
C M Ho, and
W I Wei, and
J S Sham, and
S K Lau, and
K H Lam
December 1992,
American journal of surgery,
C M Ho, and
W I Wei, and
J S Sham, and
S K Lau, and
K H Lam
December 2014,
Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery,
C M Ho, and
W I Wei, and
J S Sham, and
S K Lau, and
K H Lam
February 1973,
The Surgical clinics of North America,
C M Ho, and
W I Wei, and
J S Sham, and
S K Lau, and
K H Lam
January 1951,
Quarterly bulletin. Northwestern University (Evanston, Ill.). Medical School,
C M Ho, and
W I Wei, and
J S Sham, and
S K Lau, and
K H Lam
July 1997,
Archives of otolaryngology--head & neck surgery,
C M Ho, and
W I Wei, and
J S Sham, and
S K Lau, and
K H Lam
September 2015,
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery,
C M Ho, and
W I Wei, and
J S Sham, and
S K Lau, and
K H Lam
November 1979,
Arizona medicine,
C M Ho, and
W I Wei, and
J S Sham, and
S K Lau, and
K H Lam
January 1974,
ORL; journal for oto-rhino-laryngology and its related specialties,
C M Ho, and
W I Wei, and
J S Sham, and
S K Lau, and
K H Lam
January 1988,
Zhonghua er bi yan hou ke za zhi,
