Facial node involvement in head and neck cancer
Article first published online: 14 APR 2004
Copyright © 2004 Wiley Periodicals, Inc.
Head & Neck
Volume 26, Issue 6, pages 531–536, June 2004
How to Cite
Sheahan, P., Colreavy, M., Toner, M. and Timon, C. V. I. (2004), Facial node involvement in head and neck cancer. Head Neck, 26: 531–536. doi: 10.1002/hed.20005
- Issue published online: 20 MAY 2004
- Article first published online: 14 APR 2004
- Manuscript Accepted: 5 DEC 2003
- lymph nodes, facial;
- lymph nodes, mandibular;
- neck dissection, squamous cell carcinoma;
- oral cavity
Facial node involvement in head and neck cancer is rarely documented. Furthermore, facial node removal may increase the risk of damage to the marginal mandibular nerve. Thus, although they may receive afferent lymphatic drainage from the oral cavity, facial nodes are rarely removed during neck dissection.
We retrospectively reviewed the records of 29 patients with oral cavity or oropharyngeal carcinomas who underwent facial node sampling in 32 heminecks during neck dissection for oral cavity or oropharyngeal cancer.
Facial node metastases were present in seven patients. Facial node involvement was much more common among patients with palpable cervical lymphadenopathy. Positive facial nodes were associated with an increased risk of treatment failure and a poorer survival.
In patients with oral cavity/oropharyngeal primary tumors and palpable cervical lymphadenopathy, consideration should be given to removal of facial nodes during neck dissection; however, further data are awaited before any benefits can be quantified. © 2004 Wiley Periodicals, Inc. Head Neck26: 531–536, 2004