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Related Experiment Videos

Supraomohyoid neck dissection

R H Spiro1, G J Morgan, E W Strong

  • 1Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

American Journal of Surgery
|December 1, 1996
PubMed
Summary
This summary is machine-generated.

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Supraomohyoid neck dissection (SOHND) is effective for staging oral squamous cell carcinoma (SCC) and treating limited neck metastases. This procedure demonstrates low recurrence rates, especially when combined with radiation therapy for selected patients.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Head and Neck Cancer

Background:

  • Supraomohyoid neck dissection (SOHND) is increasingly used for staging oral and oropharyngeal squamous cell carcinoma (SCC).
  • It is also employed as a potentially curative treatment for select patients with limited neck metastases.

Purpose of the Study:

  • To evaluate the effectiveness of SOHND in controlling neck disease.
  • To assess SOHND as both a staging and therapeutic procedure for oral and oropharyngeal SCC.

Main Methods:

  • A retrospective chart review of 296 SOHND procedures performed between 1986 and 1993 was conducted.
  • Patients with oral and oropharyngeal SCC undergoing elective or therapeutic SOHND were analyzed for neck tumor control.

Main Results:

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  • In elective SOHND, 25% of clinically node-negative patients had positive nodes, with a 7% neck failure rate.
  • Therapeutic SOHND for limited N+ disease showed a 6% neck recurrence rate.
  • Histologically negative nodes had a 5% neck failure rate, with 9 of 16 recurrences within the SOHND field.

Conclusions:

  • SOHND is a reliable staging procedure for N(o) oral/oropharyngeal SCC.
  • Therapeutic SOHND combined with postoperative radiation therapy effectively controls neck metastases in selected patients with limited upper neck disease.