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Supraomohyoid neck dissection as a staging procedure for squamous cell carcinomas of the oral cavity and oropharynx

✍ Scribed by Dr. David H. Henick; Dr. Carl E. Silver; Dr. Keith S. Heller; Dr. Ashok R. Shaha; Dr. Gady Har El; Dr. David P. Wolk


Publisher
John Wiley and Sons
Year
1995
Tongue
English
Weight
501 KB
Volume
17
Category
Article
ISSN
1043-3074

No coin nor oath required. For personal study only.

✦ Synopsis


Background. A multi-institutional retrospective study was performed to evaluate the efficacy of the supraomohyoid neck dissection (SOHND) for detection of occult cervical metastasis in squamous cell carcinoma of the oral cavity and oropharynx.

Methods. Seventy-five previously untreated patients with clinically negative necks were studied. Seventeen (23%) neck specimens revealed occult metastatic disease, and 58 (77%) were histologically negative. Postoperative irradiation was received by 94% of the patients with positive specimens and 22% with negative specimens. Patients were followed until recurrence of neck disease, or for a period of 2 years or longer.

Results. Cervical metastasis subsequently developed in 25% of treated positive specimen patients, none of the untreated positive specimen patients, 8% of the treated negative specimen patients, and 11% of the untreated negative specimen patients. The sensitivity of SOHND for cervical metastasis was 82Β°/0, negative predictive value 91%, and accuracy 94%.


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