Comparison of morbidity between sentinel node biopsy and elective neck dissection for treatment of the n0 neck in patients with oral squamous cell carcinoma
Article first published online: 29 NOV 2010
Copyright © 2010 Wiley Periodicals, Inc.
Head & Neck
Volume 33, Issue 9, pages 1260–1264, September 2011
How to Cite
Murer, K., Huber, G. F., Haile, S. R. and Stoeckli, S. J. (2011), Comparison of morbidity between sentinel node biopsy and elective neck dissection for treatment of the n0 neck in patients with oral squamous cell carcinoma. Head Neck, 33: 1260–1264. doi: 10.1002/hed.21622
- Issue published online: 11 AUG 2011
- Article first published online: 29 NOV 2010
- Manuscript Accepted: 12 AUG 2010
- Manuscript Revised: 13 JUL 2010
- Manuscript Received: 12 JAN 2010
- elective neck dissection;
- sentinel node biopsy;
- Constant Score;
- Neck Dissection Impairment Index;
- treatment-related morbidity
Sentinel node biopsy (SNB) has been proposed for staging of the cN0 neck in early oral/oropharyngeal squamous cell carcinomas (SCC). Because SNB is a minimally invasive procedure, it is thought to be associated with less morbidity than elective neck dissection.
Sixty-two consecutive patients were included from 2000 to 2009. Two groups were analyzed consisting of 33 patients after SNB and 29 after elective neck dissection. Subjective impairment and functional shoulder status were assessed with the Neck Dissection Impairment Index (NDII) questionnaire and the modified individual relative Constant Score. Postoperative complications were retrieved from the clinical charts.
The investigated scores were significantly better in the SNB group. All postoperative complications occurred in the elective neck dissection group.
SNB is associated with significantly less postoperative morbidity and better shoulder function than elective neck dissection. This supports our opinion that patients with nodal negative early SCC of the oral cavity should be offered SNB. © 2010 Wiley Periodicals, Inc. Head Neck, 2010