Amputation neuromas after neck dissection

Yoav P. Talmi; Lev Bedrin; Shay Dori; Zeev Horowitz; Michael Wolf; Ran Yahalom; Michael Peleg; Shlomo Teicher; Jona Kronenberg

doi:10.1067/mhn.2003.77

Amputation neuromas after neck dissection

Yoav P. Talmi^*, Lev Bedrin, Shay Dori, Zeev Horowitz, Michael Wolf, Ran Yahalom, Michael Peleg, Shlomo Teicher, Jona Kronenberg

^*Corresponding author for this work

Sheba Medical Center at Tel Hashomer

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

OBJECTIVE: We sought to define the incidence of neuroma formation after neck dissection in a large series of patients. METHODS: One hundred fifty-three patients who were seen during a 2-year period (followed for 3 months to 10 years; mean, 52 months) were evaluated for neuroma formation after neck dissection (185 procedures). Cut nerve edges were not routinely ligated or cauterized. RESULTS: Operative records indicated that except for 4 cases, the stumps of the great auricular nerve and cervical branches were left intact after resection. No cases of palpable neuromas were found. In one case of a revised neck, a small macroscopically indiscernible nodule was histologically defined as neuroma. CONCLUSION: No neuromas were discovered in our series of neck dissection cases. If found, it is imperative these lesions be differentiated from recurrent cancer. Our results do not support any interference with cut nerve edges.

Original language	English
Pages (from-to)	196-199
Number of pages	4
Journal	Otolaryngology - Head and Neck Surgery
Volume	128
Issue number	2
DOIs	https://doi.org/10.1067/mhn.2003.77
State	Published - 1 Feb 2003
Externally published	Yes

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10.1067/mhn.2003.77

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title = "Amputation neuromas after neck dissection",

abstract = "OBJECTIVE: We sought to define the incidence of neuroma formation after neck dissection in a large series of patients. METHODS: One hundred fifty-three patients who were seen during a 2-year period (followed for 3 months to 10 years; mean, 52 months) were evaluated for neuroma formation after neck dissection (185 procedures). Cut nerve edges were not routinely ligated or cauterized. RESULTS: Operative records indicated that except for 4 cases, the stumps of the great auricular nerve and cervical branches were left intact after resection. No cases of palpable neuromas were found. In one case of a revised neck, a small macroscopically indiscernible nodule was histologically defined as neuroma. CONCLUSION: No neuromas were discovered in our series of neck dissection cases. If found, it is imperative these lesions be differentiated from recurrent cancer. Our results do not support any interference with cut nerve edges.",

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T1 - Amputation neuromas after neck dissection

AU - Talmi, Yoav P.

AU - Bedrin, Lev

AU - Dori, Shay

AU - Horowitz, Zeev

AU - Wolf, Michael

AU - Yahalom, Ran

AU - Peleg, Michael

AU - Teicher, Shlomo

AU - Kronenberg, Jona

PY - 2003/2/1

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N2 - OBJECTIVE: We sought to define the incidence of neuroma formation after neck dissection in a large series of patients. METHODS: One hundred fifty-three patients who were seen during a 2-year period (followed for 3 months to 10 years; mean, 52 months) were evaluated for neuroma formation after neck dissection (185 procedures). Cut nerve edges were not routinely ligated or cauterized. RESULTS: Operative records indicated that except for 4 cases, the stumps of the great auricular nerve and cervical branches were left intact after resection. No cases of palpable neuromas were found. In one case of a revised neck, a small macroscopically indiscernible nodule was histologically defined as neuroma. CONCLUSION: No neuromas were discovered in our series of neck dissection cases. If found, it is imperative these lesions be differentiated from recurrent cancer. Our results do not support any interference with cut nerve edges.

AB - OBJECTIVE: We sought to define the incidence of neuroma formation after neck dissection in a large series of patients. METHODS: One hundred fifty-three patients who were seen during a 2-year period (followed for 3 months to 10 years; mean, 52 months) were evaluated for neuroma formation after neck dissection (185 procedures). Cut nerve edges were not routinely ligated or cauterized. RESULTS: Operative records indicated that except for 4 cases, the stumps of the great auricular nerve and cervical branches were left intact after resection. No cases of palpable neuromas were found. In one case of a revised neck, a small macroscopically indiscernible nodule was histologically defined as neuroma. CONCLUSION: No neuromas were discovered in our series of neck dissection cases. If found, it is imperative these lesions be differentiated from recurrent cancer. Our results do not support any interference with cut nerve edges.

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Amputation neuromas after neck dissection

Abstract

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