{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:08:06Z","timestamp":1761743286295},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2009,10,20]],"date-time":"2009-10-20T00:00:00Z","timestamp":1255996800000},"content-version":"vor","delay-in-days":11860,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[1977,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Head and neck neoplasms may invade the mediastinum by direct extension or metastases to the tracheoesophageal or jugulo\u2010subclavian lymph nodes. The clavicles and manubrium are a barrier to adequate resection in this type of disease. In 1962, the senior author reported six mediastinal dissections for stomal recurrences after laryngectomy.<\/jats:p><jats:p>Later techniques for staging the removal of manubrium and clavicles and preparing the regional flaps were devised to avoid major complications arising from operating in thin area which usually had prior treatment with radiation and\/or surgery. Over 60 transsternal radical neck dissections have been performed in the past 20 years. We have in the past evaluated the morbidity and survivals in stomal cases and present here our revised indications and techniques.<\/jats:p>","DOI":"10.1002\/lary.5540870510","type":"journal-article","created":{"date-parts":[[2009,10,20]],"date-time":"2009-10-20T13:49:56Z","timestamp":1256046596000},"page":"751-759","source":"Crossref","is-referenced-by-count":51,"title":["Mediastinal dissection \u2014 1976: Indications and newer techniques"],"prefix":"10.1002","volume":"87","author":[{"given":"George A.","family":"Sisson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David E.","family":"Bytell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen P.","family":"Becker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,10,20]]},"reference":[{"key":"e_1_2_1_2_2","first-page":"1069","article-title":"Mediastinal Dissection for Recurrent Cancer After Laryngectomy","volume":"73","author":"Sisson G. A.","year":"1962","journal-title":"The Laryngoscope"},{"key":"e_1_2_1_3_2","first-page":"142","article-title":"Cancer of the Trachea 15 Years After Treatment for Cancer of the Larynx","volume":"12","author":"Watson W. L.","year":"1942","journal-title":"Jour. Thor. Surg."},{"key":"e_1_2_1_4_2","doi-asserted-by":"crossref","unstructured":"Sisson G. A.: Extended Radical Surgery for Cancer of the Head and Neck.Otolaryngol Clin. No. Amer. pp.617\u2013630 Oct. 1969.","DOI":"10.1016\/S0030-6665(20)33199-6"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1975.00780300050014"},{"key":"e_1_2_1_6_2","first-page":"767","article-title":"Mediastinal Dissection for Recurrent Cancer After Laryngectomy","volume":"74","author":"Sisson G. A.","year":"1970","journal-title":"Trans. Amer. Acacl. of Ophthal. and Otolaryngol"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(71)90466-1"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197509000-00012"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(196203\/04)15:2<263::AID-CNCR2820150209>3.0.CO;2-3"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196902000-00005"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1965.00750050190014"},{"key":"e_1_2_1_12_2","unstructured":"Sisson K. A. Bytell D. E.andEdison B. D.:Transsternal Radical Neck Dissection (Mediastinal Approach). R. Anderson and J. Hoopes Editors. Symposium on Malignancies of the Head and Neck Chapter 6 pp.27\u201330 1975."},{"key":"e_1_2_1_13_2","unstructured":"Sisson G. A.:Reconstruction and Obliteration of Upper Mediastinum. Second Edition. Conlcy and Dickinson Editors. Proceedings of the First International Symposium pp.227\u2013231 1972."},{"key":"e_1_2_1_14_2","first-page":"487","article-title":"Causes of Failure in Surgical Treatment of Malignant Tumors of die Larynx","volume":"68","author":"Norms C. M.","year":"1959","journal-title":"Ann. 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