Surgical and pathological outcomes of elective neck dissection during salvage total laryngectomy

Abstract

The rate of occult nodal metastases during primary laryngectomy with no clinical or radiological evidence of neck disease (cN0) has been found to be as high as 20%. Therefore, bilateral elective neck dissection is usually recommended. However, the role of neck dissection in the salvage laryngectomy setting remains unclear. Improvements in the accuracy of cross sectional imaging mean occult disease is less common.

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