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Carotid Sheath Dissection and Histopathology During Neck Dissection in Head and Neck Carcinomas Publisher



Bagherihagh A1, 2 ; Saidi M1, 2 ; Yousefi J1, 2 ; Shamsaee A3 ; Heidari F4, 5
Authors
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Authors Affiliations
  1. 1. New Hearing Technologies Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
  2. 2. Department of ENT, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
  3. 3. Department of Pathology, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
  4. 4. Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Otorhinolaryngology Research Center, Amir Alam Hospital, North Sadi Ave, Tehran, 1145765111, Iran

Source: Indian Journal of Otolaryngology and Head and Neck Surgery Published:2023


Abstract

To investigate the carotid sheath in neck dissection (ND) specimens histopathologically in patients with head and neck carcinomas who had no evidence of previous neck surgery or direct involvement of the carotid sheath in their pre- or intra-operative evaluations. In this study, carotid sheath (CS) specimens of 40 patients with head and neck carcinomas (HNCA) who, depending on the condition of the primary tumor, required unilateral or bilateral elective or therapeutic selective neck dissection were histopathologically investigated by an expert head and neck pathologist to find any lymphoid or thyroid like tissue or tumor cells infiltration. A total of 50 carotid sheath (CS) specimens were investigated. None of the samples showed any evidence of tumor infiltration or accumulation of lymphatic tissue. We conclude that in patients with no histopathologic involvement of the carotid sheath in pre-operative or intra-operative tumor invasion, it is not necessary to remove CS in routine neck dissection. © 2023, Association of Otolaryngologists of India.