Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2007 Sep-Oct;73(5):641-6.
doi: 10.1016/s1808-8694(15)30124-5.

Radical versus supraomohyoid neck dissection in the treatment of squamous cell carcinoma of the inferior level of the mouth

Abrão Rapoport  1 , Daniel Kanabben Ortellado, Ali Amar, Carlos Neutzling Lehn, Rogério Aparecido Dedivitis, Ricardo Salinas Perez, Helen Mara Rodrigues
Affiliations
Comparative Study

Radical versus supraomohyoid neck dissection in the treatment of squamous cell carcinoma of the inferior level of the mouth

Abrão Rapoport et al. Braz J Otorhinolaryngol. 2007 Sep-Oct.

Abstract

The therapeutic paradigm for neck metastasis of squamous cell carcinoma (SCC) in the lower level of the mouth has changed due to survival.

Aim: A comparative study between radical (RND) versus selective neck dissection (SND).

Material and method: An analysis of mouth SCC in the lower level of the mouth in 460 files from the Head & Neck and ORL Department of the Heliopolis Hospital, from 1978 to 2002. In the RND the metastathic rate in levels IV and V was assessed; in the SND the presence and site of recurrence was identified. The chi square test with the Yates correction was the chosen statistical method.

Results: In the RND the metastatic rates were 5.8% (level IV) and 4.6% (level V) for cNO cases, and 9.9% (level IV) and 5.9% (level V) for cN+ cases; for level I only the rates were 11.0% for cNO cases and 5.5% for cN+ cases. In the SND the number of recurrences was 4 (4.1%) in 97 neck dissections (pNO) and 2 (10%) in 20 neck dissections (pN+). There was no advantage in using radiation compared to non-irradiated cases (5.6% and 5.7%).

Conclusion: The SND may be used for SCC of the lower level of the mouth.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Crile G. Excision of cancer of the head and neck. JAMA. 1906;47:1780–1786. - PubMed
    1. Strong E. Preoperative radiation and radical neck dissection. Surg Clin North Am. 1969;49:271–276. - PubMed
    1. Suarez O. El problema de las metastasis linfaticas y alejadas del cancer de laringe e hipofaringe. Rev Otorhinolaringol Santiago. 1963;23:83–99.
    1. Bocca E, Pignataro O, Oldini C, Cappa C. Functional neck dissection: an evaluation and review of 843 cases. Laryngoscope. 1984;94:942–945. - PubMed
    1. Carvalho M, Sobrinho J, Rapoport A, Fava AS, Kanda JL, Lehn CN, Chacra J, Walder F, Menezes M, Negri SLC. Padrão e comportamento das metástases cervicais do carcinoma de laringe e de hipofaringe. Rev Bras Otorrinolaringol. 1996;62:122–129.

Uncited Reference

    1. Robbins K, Clayman G, Levine P, Medina J, Sessions R, Shaha A, Som P, Wolf GT. Neck dissection classification update - Revisions proposed by the American Head and Neck Society and the American Academy of Otolaryngology - Head And Neck Surgery. Arch Otolaryngol Head Neck Surg. 2002;128:751–758. - PubMed
    1. Chepeha D, Hoff P, Taylor R, Bradford C, Teknos T, Esclamado R. Selective neck dissection for the treatment of neck metastasis from squamous cell carcinoma of the head and neck. Laryngoscope. 2002;112:434–438. - PubMed

Publication types