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Supraomohyoid neck dissection. Is it diagnostic or therapeutic? by Jeroen D. F. Kerrebijn; Jeremy L. Freeman; Jonathan C. Irish; Ian J. Witterick; Dale H. Brown; Lorne E. Rotstein; Patrick J. Gullane is a Medicine article available to read on EtoBox.

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## Background: The supraomohyoid neck dissection (sohnd) is often performed in patients with cancer of the oral cavity, where there is no clinical or radiologic evidence of regional metastases. when on pathologic examination positive neck nodes are found, however, some consider it a curative operation, whereas others regard it as a staging procedure only. ## Methods: We retrospectively reviewed 43 patients with cancer of the oral cavity who had a sohnd during the period from 1991 to 1994. all patients were staged as having n0 disease and had a total of 48 sohnds (38 unilateral, 5 bilateral). the follow-up period was at least 2 years. ## Results: Seven of 48 n0-staged necks showed occult metastasis (15%). two of these patients received postoperative radiotherapy. one of 7 (14%) patients with pathologic node-positive disease on the sohnd side developed recurrent ipsilateral neck disease during the follow-up period, whereas 4 (10%) recurrences developed in 41 necks that were pathologically staged as n0. survival was 88% for patients with pathologically n0 necks versus 86% for patients with pathologically n+; disease. ## Conclusion: Supraomohyoid neck dissection is an effective staging

Who reads Supraomohyoid neck dissection. Is it diagnostic or therapeutic??

Author

Jeroen D. F. Kerrebijn; Jeremy L. Freeman; Jonathan C. Irish; Ian J. Witterick; Dale H. Brown; Lorne E. Rotstein; Patrick J. Gullane

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square (ISSN 1043-3074)

Published

1999

Language

EN

Field

Medicine (Health Sciences)