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The lateral cervical stria approach to selective neck dissection: a preliminary study
1Number 1, Shanghai Road 210029, Nanjing, People's Republic of China dyf@njmu.edu.cn.
Medicina Oral, Patologia Oral Y Cirugia Bucal
|January 15, 2023
Summary
A new lateral cervical stria approach for selective neck dissection (SND) in early-stage oral cancers offers reliable functional and aesthetic results. This technique demonstrates good outcomes with minimal complications for patients with oral malignancies.
Area of Science:
- Surgical Oncology
- Head and Neck Surgery
- Oral Oncology
Background:
- Early-stage oral malignancies often require selective neck dissection (SND).
- Aesthetic and functional outcomes are critical considerations post-surgery.
- Novel surgical approaches are sought to optimize patient results.
Purpose of the Study:
- To propose and evaluate a novel lateral cervical stria approach for selective neck dissection (SND).
- To assess the functional and aesthetic outcomes of this approach in early-stage oral cancer patients.
Main Methods:
- The lateral cervical stria approach was utilized for SND in 11 patients.
- Surgical incisions were placed in the submandibular cervical stria (5.0 cm length).
- Perioperative variables and 6-month postoperative aesthetic scores (UW-QOL) were analyzed.
Main Results:
- No wound breakdown or infection occurred.
- Mean operative time was 157.63 min, with mean blood loss of 120.45 ml.
- Mean retrieved lymph nodes were 17.89, with low complication rates and a mean appearance score of 86.36.
Conclusions:
- The lateral cervical stria approach is a reliable technique for SND in early-stage oral malignancies.
- This method yields satisfactory functional and aesthetic outcomes.
- The approach is well-tolerated with minimal complications.
