We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Neck recurrence after level I-IV or I-III selective neck dissection in the management of the clinically N0 neck in patients with oral squamous cell carcinoma.
- Authors
Bajwa, Mandeep S.; McMillan, Roddy; Khattak, Owais; Thomas, Mathew; Krishnan, Ojas P.; Webster, Keith
- Abstract
Background. Controversy remains regarding extending the level I-III selective neck dissection (SND) to include level IV in the management of the clinically N0 (cN0) neck in patients with oral squamous cell carcinoma (OSCC). Methods. Histologic and follow-up data of 87 patients with previously untreated OSCC undergoing I-IV SND and 41 undergoing I-III SND between 2002 and 2006 were reviewed. Results. Of the 98 I-IV SNDs performed, 4 had involvement of level IV. No relationship between tumor variables and level IV involvement was identified. Survival analysis failed to demonstrate a significant difference between I-III and I-IV SND in terms of developing neck recurrence in the 2 years following surgery. Conclusions. Level I-III SND is effective management of the cN0 neck (when coupled with postoperative radiotherapy in selected cases) in patients with OSCC, although it is recommended that a larger prospective study be performed in this field.
- Subjects
SQUAMOUS cell carcinoma; HEAD &; neck cancer; NECK dissection; TREATMENT of oral cancer; SURVIVAL analysis (Biometry); RADIOTHERAPY; PATIENTS
- Publication
Head & Neck, 2011, Vol 33, Issue 3, p403
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.21466