Comparison of morbidity between sentinel node biopsy and elective neck dissection for treatment of the n0 neck in patients with oral squamous cell carcinoma

Authors

  • Karin Murer MD,

    1. Department of Otolaryngology–Head and Neck Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland
    2. Department of Otolaryngology–Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland
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  • Gerhard F. Huber MD,

    1. Department of Otolaryngology–Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland
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  • Sarah R. Haile PhD,

    1. Clinical Trials Unit, Kantonsspital St. Gallen, St. Gallen, Switzerland
    2. Biostatistics Unit, Institute for Social and Preventive Medicine, University of Zurich, Zurich, Switzerland
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  • Sandro J. Stoeckli MD

    Corresponding author
    1. Department of Otolaryngology–Head and Neck Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland
    2. Department of Otolaryngology–Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland
    • Department of Otolaryngology, Head and Neck Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland
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Abstract

Background

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.

Methods

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.

Results

The investigated scores were significantly better in the SNB group. All postoperative complications occurred in the elective neck dissection group.

Conclusion

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

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