9 Supraomohyoid Neck Dissection

2019 ◽  
Keyword(s):  
Neck Dissection ◽  
Supraomohyoid Neck Dissection

Supraomohyoid neck dissection. Is it diagnostic or therapeutic?

Head & Neck ◽  
1999 ◽  
Vol 21 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Jeroen D. F. Kerrebijn ◽  
Jeremy L. Freeman ◽  
Jonathan C. Irish ◽  
Ian J. Witterick ◽  
Dale H. Brown ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Supraomohyoid Neck Dissection

Supraspinal accessory lymph node metastases in supraomohyoid neck dissection

1996 ◽  
Vol 172 (6) ◽  
pp. 646-649 ◽  
Author(s):  
Dennis H. Kraus ◽  
David B. Rosenberg ◽  
Bruce J. Davidson ◽  
Ashok R. Shaha ◽  
Ronald H. Spiro ◽  
...  
Keyword(s):  
Lymph Node ◽  
Neck Dissection ◽  
Lymph Node Metastases ◽  
Supraomohyoid Neck Dissection ◽  
Node Metastases

Tumours of the oral cavity

2021 ◽  
pp. 859-866
Author(s):  
Jonathan A. Dunne ◽  
Paolo L. Matteucci
Keyword(s):  
Neck Dissection ◽  
External Beam Radiotherapy ◽  
Radical Neck Dissection ◽  
Free Flaps ◽  
Nodal Metastasis ◽  
High Rate ◽  
Adjuvant Chemoradiotherapy ◽  
Postoperative Rehabilitation ◽  
Supraomohyoid Neck Dissection ◽  
Common Malignancy

Oral tumours are a common malignancy, with smoking and alcohol the principal aetiological factors. Squamous cell carcinoma is the commonest pathology, most frequently affecting the anterior tongue and floor of the mouth. Surgery is the mainstay of T1/T2 tumour management, and tracheostomy may be required. Sentinel node biopsy is an effective staging procedure; however, there is a high rate of occult nodal metastasis which may warrant elective supraomohyoid neck dissection. Macroscopic nodal disease requires modified radical neck dissection, preferably with adjuvant chemoradiotherapy. For unresectable tumours, radical external beam radiotherapy with cisplatin should be given. Reconstruction of soft tissue involves a range of skin grafts and local, regional, and free flaps, while bony reconstruction includes obturators and non-vascularized and vascularized bone grafts. Postoperative rehabilitation aims to restore speech, mastication, swallow, and dentition. Three-year survival is greater than 90% for stage I/II disease, with excellent functional outcomes.

scholarly journals Precise Intraoperative Lymph Node Identification by Isosulfan Blue of Occult Neck Lymph Node Metastases for Decision to Convert from Supraomohyoid Neck Dissection to Comprehensive Neck Dissection in Early-Stage Oral Cancer

2021 ◽  
pp. 54-60
Author(s):  
Somjin Chindavijak
Keyword(s):  
Lymph Node ◽  
Oral Cancer ◽  
Lymph Nodes ◽  
Neck Dissection ◽  
Early Stage ◽  
Isosulfan Blue ◽  
Neck Lymph Node ◽  
Blue Node ◽  
Metastatic Lymph ◽  
Supraomohyoid Neck Dissection

Objective: To study the sensitivity and specificity of peritumoral isosulfan blue dye injection for localization of suspected metastatic lymph nodes. Materials and methods: The study included all patients diagnosed with early-stage oral cancer between January 2018 and March 2020. After elevation of the skin flap, the primary site was injected peritumorally with isosulfan blue 0.3-0.5 cc at 1 cm intervals and massaged.  The time at which any draining nodes turned blue was recorded and the node was then excised for frozen section.  After which supraomohyoid neck dissection was performed.  The frozen sections were stained with H&E and analyzed for presence of metastases. Negative sections were further analyzed using immunohistochemistry stains.  Sensitivity, specificity and time of identification suspected metastatic lymph node were analyzed . Results: Nineteen patients with early-stage oral cancer were included.  The majority (78.4%) presented with tongue lesions. The mean injection amount administered was 3.62±0.83 cc, and the number of injections around the tumor were 10.26±2.31. Mean duration from time of injection to the identification of a blue node was 19.26±15.99 min.  Nodes at Level I of the neck were the most common identified as blue nodes (57.8%).  Statistical analysis comparing pathological findings with blue node identification revealed this technique has a sensitivity of 71.4% with specificity of 91.7% and an overall accuracy of 84.2% in identify metastasis lymph node.  Conclusion: Isosulfan blue injection of primary oral tumors demonstrated a high level of efficiency in identifying metastatic lesions in draining lymph nodes. This technique may be helpful in deciding intraoperatively whether to convert from supraomohyoid neck dissection to  comprehensive neck dissection  .

scholarly journals SUPRAOMOHYOID NECK DISSECTION FOR ORAL CANCER-OPERATIVE TECHNIQUE AND THE INDICATION-

2001 ◽  
Vol 27 (3) ◽  
pp. 601-606
Author(s):  
Satoru OZEKI ◽  
Akiyuki MAEDA ◽  
Kohichiro SUZUKI ◽  
Takesi HONDA ◽  
Tetsuji NAGATA ◽  
...  
Keyword(s):  
Oral Cancer ◽  
Neck Dissection ◽  
Operative Technique ◽  
Supraomohyoid Neck Dissection

scholarly journals Radical versus supraomohyoid neck dissection in the treatment of squamous cell carcinoma of the inferior level of the mouth

2007 ◽  
Vol 73 (5) ◽  
pp. 641-646 ◽  
Author(s):  
Abrão Rapoport ◽  
Daniel Kanabben Ortellado ◽  
Ali Amar ◽  
Carlos Neutzling Lehn ◽  
Rogério Aparecido Dedivitis ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Neck Dissection ◽  
Squamous Cell ◽  
Supraomohyoid Neck Dissection
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