✦ LIBER ✦

Comparison of morbidity between sentinel node biopsy and elective neck dissection for treatment of the n0 neck in patients with oral squamous cell carcinoma

✍ Scribed by Karin Murer; Gerhard F. Huber; Sarah R. Haile; Sandro J. Stoeckli

Publisher: John Wiley and Sons
Year: 2010
Tongue: English
Weight: 87 KB
Volume: 33
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.21622

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background

Sentinel node biopsy (SNB) has been proposed for staging of the cN0 neck in early oral/oropharyngeal squamous cell carcinomas (SCC). Because SNB is a minimally invasive procedure, it is thought to be associated with less morbidity than elective neck dissection.

Methods

Sixty‐two consecutive patients were included from 2000 to 2009. Two groups were analyzed consisting of 33 patients after SNB and 29 after elective neck dissection. Subjective impairment and functional shoulder status were assessed with the Neck Dissection Impairment Index (NDII) questionnaire and the modified individual relative Constant Score. Postoperative complications were retrieved from the clinical charts.

Results

The investigated scores were significantly better in the SNB group. All postoperative complications occurred in the elective neck dissection group.

Conclusion

SNB is associated with significantly less postoperative morbidity and better shoulder function than elective neck dissection. This supports our opinion that patients with nodal negative early SCC of the oral cavity should be offered SNB. © 2010 Wiley Periodicals, Inc. Head Neck, 2010

📜 SIMILAR VOLUMES

Prospective trial to evaluate staged nec

Prospective trial to evaluate staged neck dissection or elective neck radiotherapy in patients with CT-staged T1-2 N0 squamous cell carcinoma of the oral tongue

✍ Sinead Brennan; June Corry; Stephen Kleid; Sandro Porceddu; Kally Yuen; Danny Ri 📂 Article 📅 2009 🏛 John Wiley and Sons 🌐 English ⚖ 113 KB

## Abstract ## Background A prospective study was undertaken to evaluate a policy of selective, single‐modality elective neck treatment in T1‐2, node‐negative oral tongue squamous cell carcinoma. ## Methods Where the primary tumor showed 1 of the 4 key pathological criteria (greater than 7 mm of

A suggested method for sentinel node bio

✍ Taimur Shoaib; David S. Soutar; Joanne E. Prosser; David J. Dunaway; Henry W. Gr 📂 Article 📅 1999 🏛 John Wiley and Sons 🌐 English ⚖ 70 KB 👁 2 views

Background. Debate continues over the management of the N0 neck in head and neck malignancy. Therefore, the possibility of performing sentinel node biopsy in these patients was investigated to formulate a method for the procedure. Methods. Patients undergoing prophylactic or therapeutic neck dissec

Neck recurrence after level I–IV or I–II

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

✍ Mandeep S. Bajwa; Roddy McMillan; Owais Khattak; Mathew Thomas; Ojas P. Krishnan 📂 Article 📅 2010 🏛 John Wiley and Sons 🌐 English ⚖ 125 KB 👁 1 views

## 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 wi

Wait-and-see policy for the N0 neck in e

Wait-and-see policy for the N0 neck in early-stage oral and oropharyngeal squamous cell carcinoma using ultrasonography-guided cytology: Is there a role for identification of the sentinel node?

✍ Eline J. C. Nieuwenhuis; Jonas A. Castelijns; Rik Pijpers; Michiel W. M. van den 📂 Article 📅 2002 🏛 John Wiley and Sons 🌐 English ⚖ 113 KB 👁 1 views

## Abstract ## Background Management of the N0 neck in patients with head and neck squamous cell carcinoma (SCC) remains controversial. We describe the outcome of patients who underwent transoral tumor excision and a wait‐and‐see policy for the neck staged N0 by ultrasonography‐guided cytology (US

Metaanalysis of the significance of matr

Metaanalysis of the significance of matrix metalloproteinases for lymph node disease in patients with head and neck squamous cell carcinoma

✍ Susanne Wiegand; Anja A. Dünne; Helge H. Müller; Robert Mandic; Peter Barth; Ron 📂 Article 📅 2005 🏛 John Wiley and Sons 🌐 English ⚖ 148 KB

## Abstract ## BACKGROUND The objective of the current metaanalysis was to evaluate the expression patterns of matrix metalloproteinases (MMPs) in patients with head and neck squamous cell carcinoma (HNSCC), to evaluate reported series, and to determine whether there is an expressed value to quant

Usefulness of fluorine-18 fluorodeoxyglu

Usefulness of fluorine-18 fluorodeoxyglucose positron emission tomography in patients with a residual structural abnormality after definitive treatment for squamous cell carcinoma of the head and neck

✍ Robert E. Ware; Jane P. Matthews; Rodney J. Hicks; Sandro Porceddu; Annette Hogg 📂 Article 📅 2004 🏛 John Wiley and Sons 🌐 English ⚖ 220 KB

## Abstract ## Background. Residual structural abnormalities after definitive treatment of head and neck squamous cell carcinoma (HNSCC) are common and pose difficult management problems. The usefulness of fluorine‐18 fluorodeoxyglucose positron emission tomography (FDG PET) to supplement conventi