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GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNOKHC)

ISSN 1865-1038

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Selective Neck Dissection (IIa, III): A Rational Replacement for Extended Supraomohyoid Neck Dissection in Patients with N0 Supraglottic and Glottic Squamous Cell Carcinoma

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  • corresponding author Mo'men Hamela - Kasr Alainy School of Medicine, Cairo University, Cairo, Egypt
  • Ismail Zohdi - Faculty of Medicine, Cairo University, Egypt, Cairo, Egypt
  • Louay El Sharkawy - Faculty of Medicine, Cairo University, Egypt, Cairo, Egypt
  • Mahmoud El Bestar - Faculty of Medicine, Cairo University, Egypt, Cairo, Egypt
  • Hazem Abdel Tawab - Faculty of Medicine, Cairo University, Egypt, Cairo, Egypt
  • Amal Hareedy - Faculty of Medicine, Cairo University, Egypt, Cairo, Egypt

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2017;13:Doc265

doi: 10.3205/cpo001819, urn:nbn:de:0183-cpo0018197

Published: April 26, 2017

© 2017 Hamela et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

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Abstract

Introduction: To evaluate the effectiveness of selective neck dissection of sublevel IIa and level III in cases of glottis and supraglottic laryngeal carcinoma in the absence of lymph node metastasis and to show if there is value in dissecting the sublevel IIb or level IV in these cases.

Methods: Twenty-five patients with N0 glottic or supraglottic cancer were subjected to unilateral or bilateral selective neck dissection according to the site and the extent of the tumor, and the specimens were histopathologically examined for metastasis.

Results: Twenty-five patients (23 males and 2 females) with mean age of 55.72 years were included in the study. Lymph node metastasis to sublevel IIa and level III was found in 6/25 (24%) cases with glottic or supraglottic carcinoma, while to sublevel IIb and level IV was found in 1/25 (4%) with P-value of 0.05, which is statistically significant.

Conclusion: Selective neck dissection of level IIb is not required in cases of the supraglottic laryngeal cancer. Dissection of sublevel IIa and level III takes less time and is effective. Dissection of level IV is not needed in the case of supraglottic cancer.

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