Submandibular Gland-Sparing Technique Versus En-Bloc Level IB Dissection in Oral Cavity Cancers with N0 Neck Status: A Randomized Controlled Trial

Metastases to the submandibular gland (SMG) from oral cavity primaries are very rare. Hence, a gland-preserving level IB dissection technique is a feasible option without compromising the lymph node yield (LNY). To assess the feasibility and noninferiority of the SMG-preserving dissection technique...

Full description

Saved in:
Bibliographic Details
Published in:Journal of otolaryngology-head and neck surgery 2024-01, Vol.53, p.19160216241300069
Main Authors: Vetrivel, G, Moideen, Areej, Jat, Bhinyaram, Durgapal, Prashant, Kumar, Amit, Tyagi, Amit Kumar, Patro, Sourabha Kumar, Majumdar, Kinjal Shankar, Singh, Vikramjit, Ravichandran, Nivedhan, Semwal, Ankita, Sood, Rachit, Hota, Ashutosh, Yadav, Akhilesh Chandra, Prasath, M Ramesh
Format: Article
Language:English
Subjects:
Adult
Aged
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Feasibility Studies
Female
Humans
Lymphatic Metastasis
Male
Middle Aged
Mouth Neoplasms - pathology
Mouth Neoplasms - surgery
Neck Dissection - methods
Neoplasm Staging
Organ Sparing Treatments - methods
Original Research
Submandibular Gland - surgery
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Metastases to the submandibular gland (SMG) from oral cavity primaries are very rare. Hence, a gland-preserving level IB dissection technique is a feasible option without compromising the lymph node yield (LNY). To assess the feasibility and noninferiority of the SMG-preserving dissection technique to the conventional en bloc removal of level IB in terms of LNY in patients with cN0 oral squamous cell carcinoma (OSCC) undergoing elective neck dissection. Parallel-design, single-center, open-label, randomized controlled trial. Tertiary care health care center-Department of Otorhinolaryngology-Head & Neck Surgery, AIIMS Rishikesh. Thirty-eight (n = 38) participants with 46 (n = 46) neck dissection specimens of OSCC were randomly allocated (1:1) into gland-preserving (n  = 23) and en bloc (n  = 23) dissection groups. Elective neck dissection comparing SMG-sparing level IB dissection technique versus en bloc level IB dissection. LNY, lymph node density, and level IB operative time in both groups were compared between groups (α 
ISSN:1916-0216
1916-0208
1916-0216
DOI:10.1177/19160216241300069