International Journal of Head and Neck Surgery

Register      Login

VOLUME 6 , ISSUE 2 ( April-June, 2015 ) > List of Articles

RESEARCH ARTICLE

Effectiveness of Supraomohyoid Neck Dissection in Oral Cancers with N1 Neck

Shuaib Merchant, SM Azeem Mohiyuddin, TN Suresh, A Sagayaraj, TR Harshita

Citation Information : Merchant S, Mohiyuddin SA, Suresh T, Sagayaraj A, Harshita T. Effectiveness of Supraomohyoid Neck Dissection in Oral Cancers with N1 Neck. Int J Head Neck Surg 2015; 6 (2):73-75.

DOI: 10.5005/jp-journals-10001-1226

Published Online: 01-09-2016

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Aim

Lymph node metastasis in squamous carcinoma of oral cavity carries poor prognosis. Majority of patients in our country present with locally advanced malignancy which has high incidence of micrometastasis. A comprehensive neck dissection in patients with N0 and N1 neck is overkill with resultant morbidity. Lymph node metastasis from oral cavity has predictable pattern. Supraomohyoid neck dissection (SOND) is a one stage treatment and staging procedure in patients with locally advanced oral cancer with N0 and N1 neck.

Materials and methods

We are presenting a series of 117 patients with malignancy of oral cavity with N1 neck who underwent SOND, majority involved buccal mucosa. Among the 117 patients who were clinical N1 cases, 53 (45.3%) were found to have positive nodes on histopathology and 64 (54.7%) were false. Level I lymph node metastasis (77.3%) was seen in majority of the oral cancers. After mean follow-up of 30 months, 71 patients are alive and disease-free, twelve patients had local and six (5.1%) had nodal recurrences.

Conclusion

Supraomohyoid neck dissection in locally advanced oral malignancies with N1 neck, carries low morbidity and complications and is effective substitute for modified radical neck dissection in suitable cases. Postoperative radiotherapy improves the outcome.

How to cite this article

Harshita TR, Mohiyuddin SMA, Sagayaraj A, Suresh TN, Merchant S. Effectiveness of Supraomohyoid Neck Dissection in Oral Cancers with N1 Neck. Int J Head Neck Surg 2015;6(2):73-75.


PDF Share
  1. Tumors of the oral cavity. In: Montgomery PQ, Evans PHR, Gullane PJ, editors. Principles and practice of head and neck surgery and oncology. 2nd ed. London: Informa Healthcare; 2009. p 160-171.
  2. In: Oral cavity and oropharynx. Head and Neck Surgery. 2nd ed. New York: Mosby Wolfe; 1996. p. 167-234.
  3. Accuracy of intraoperative staging of the N0 neck in squamous cell carcinoma. Laryngoscope 1995;105(12):1334-1336.
  4. Distribution of cervical lymph node metastasis from squamous cell carcinoma of the upper respiratory and digestive tracts. Cancer 1972;29(6):1146-1149.
  5. Excision of cancer of the head and neck. JAMA 1906;47(22):1780-1786.
  6. The patterns of cervical lymph node metastasis from squamous cell carcinoma of the upper aerodigestive tract. Am J Surg 1990;160(4):405-409.
  7. Outcome of treatment with total main tumor resection and supraomohyoid neck dissection in oral squamous cell carcinoma. Formos Med Assoc 2006;105(12):971-976.
  8. Results of selective neck dissection in management of the node positive neck. Arch Otolaryngol Head Neck Surg 2002;128(10):1180-1184.
  9. Feasibility of supraomohyoid neck dissection in N1 and N2a oral patients. Head Neck 2002;24(10):921-924.
  10. Supraomohyoid neck dissection: rationale, indications and surgical technique. Head Neck 1989;11(2):111-122.
  11. Selective neck dissection (I-III) for node negative and node positive necks. Oral Oncol 2006;42(8): 837-841.
  12. Supraomohyoid neck dissection. Am J Surg 1996;172(6):650-653.
  13. Am J Surg 1996;172(6):654-657.
  14. Selective neck dissection: a review of evidence. Oral Oncol 2009;45(4):416-420.
  15. Efficacy of selective neck dissection: a review of 503 cases of elective and therapeutic treatment of the neck in squamous cell carcinoma of the upper aerodigestive tract. Otolaryngol Head Neck Surg 2001;124(2):180-187.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.