Relevance of level IIb neck dissection in oral squamous cell carcinoma.

Abstract:

BACKGROUND:The purpose of this study was to determine the prevalence of level IIb metastasis in patients with oral squamous cell carcinomas (OSCCs). MATERIAL AND METHODS:A prospective analysis of 56 patients with OSCC who underwent surgical treatment of the primary lesion with simultaneous neck dissection was performed. During neck dissection, level IIb lymph nodes were separately removed and processed. Neck dissection was bilateral in 26 patients (46%) and unilateral in 30 patients (54%). RESULTS:The mean number of nodes found in the level IIb specimens was 4.7 (range: 0-8 nodes). The prevalence of metastasis at level IIb was 0% in pN0 necks and 3.4% in pN+ necks, with an overall prevalence of 1.8%. A significant association between metastasis to level IIb and type of neck dissection was observed. There were no isolated metastases to level IIb without the involvement of other nodes in the remaining neck specimen. Four regional recurrences were observed during follow-up. CONCLUSIONS:Based on our findings, we suggest that dissection of the level IIb region in patients with OSCC may be required only in patients with multilevel neck metastasis or if level IIa metastasis is found intraoperatively.

authors

de Vicente JC,Rodríguez-Santamarta T,Peña I,Villalaín L,Fernández-Valle Á,González-García M

doi

10.4317/medoral.20491

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

e547-53

issue

5

eissn

1698-4447

issn

1698-6946

pii

20491

journal_volume

20

pub_type

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