Evidence map›Paper›PMID 38655634›Full record

ArticleThe Journal of laryngology and otology2024

Occult neck metastasis in salvage laryngectomy: a road map for super-selective neck dissection.

Ahmed Youssef, Austin Milton, Rusha Patel, Rachad Mhawej, Nilesh Vasan, Greg Krempl

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In one paragraph

Article in The Journal of laryngology and otology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ahmed YoussefDepartment of Otolaryngology & Head and Neck Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, USA.ORCID https://orcid.org/0000-0003-4081-9312
Austin MiltonDepartment of Otolaryngology & Head and Neck Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
Rusha PatelDepartment of Otolaryngology & Head and Neck Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
Rachad MhawejDepartment of Otolaryngology & Head and Neck Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
Nilesh VasanDepartment of Otolaryngology & Head and Neck Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
Greg KremplDepartment of Otolaryngology & Head and Neck Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to solve the debate over the role and extent of neck dissection to treat any occult nodal metastasis in patients undergoing salvage laryngectomy for recurrent and/or residual squamous cell carcinoma of larynx.

methodsThis was a retrospective study over a time frame of 6 years (2016-2022) of 74 patients who underwent bilateral neck dissection and salvage laryngectomy for recurrent or persistent disease with N0 neck. We calculated the incidence of occult nodal metastasis in ipsilateral and contralateral neck.

resultsIncidence of ipsilateral neck disease was calculated as 8.11 per cent and it was 0 per cent in contralateral neck. Regarding ipsilateral nodal level distribution, level II was the highest at 6.76 per cent, followed by level III at 5.41 per cent. There was 0 per cent metastasis in levels IV and IIb.

conclusionIn patients undergoing salvage laryngectomy with N0 neck, ipsilateral super selective neck dissection is considered a convenient and oncologically safe option to treat the neck.

Indexed as

Carcinoma, Squamous CellLaryngeal NeoplasmsLaryngectomyLymphatic MetastasisNeck DissectionSalvage TherapyAdultAgedFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalRetrospective Studieshealth planning guidelinesneoplasms

Identifiers

PMID38655634
PMCPMC11518662

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.