Submandibular Gland in Neck Dissection: Necessary Fatality or Unfortunate Prey?

被引：0
作者：
Rahman, Tashnin [1 ]
Khandelwal, Kirti [1 ]
Bannoth, Srinivas [1 ]
Das, Ashok Kumar [1 ]
Das, Rajjyoti [1 ]
Das, Kishore [1 ]
Das, Anupam [1 ]
Kakati, Kaberi [1 ]
机构：
[1] Dr B Borooah Canc Inst, Gauhati, India
来源：
INDIAN JOURNAL OF OTOLARYNGOLOGY AND HEAD & NECK SURGERY | 2023年 / 75卷 / 02期
关键词：
Submandibular gland; Neck dissection; Oral cancer; Squamous cell cancer; PRESERVATION; FEASIBILITY; INVOLVEMENT; CARCINOMA; CANCER; FLOOR;
D O I：
10.1007/s12070-023-03478-x
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Excision of submandibular gland is currently victim in all neck dissections. In this study we intend to estimate the prevalence of submandibular gland involvement in squamous cell oral carcinomas and identify the factors associated with it. This is a single institutional, retrospective observational study conducted from 22 to 2018 to 28 February 2020. 317 patients were included for analysis as per study criteria. The prevalence of involvement of submandibular gland was 3.8%. Increased risk of submandibular gland involvement was associated with involvement of level-Ib nodes (Odds ratio: 13.6, 2.9-63.3, 95% CI and p = < 0.001) and presence of extra-nodal extension (Odds ratio: 67, 8.4-532, 95% CI and p = < 0.001) and perineurial invasion (Odds ratio: 5, 1.6-16.8 and p = 0.003). In oral cancers, especially early stage carcinoma of buccal mucosa, submandibular gland preservation may be feasible in absence of extra-nodal extension and level-Ib involvement.
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页码：789 / 793
页数：5
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