"IIb or not IIb" - The necessity of dissection in patients with oral squamous cell carcinoma

Alexander K. Bartella; Anita Kloss-Brandstatter; Mohammad Kamal; Jan Teichmann; Ali Modabber; Frank Hoelzle; Bernd Lethaus

doi:10.1016/j.jcms.2016.08.003

"IIb or not IIb" - The necessity of dissection in patients with oral squamous cell carcinoma

Alexander K. Bartella, Anita Kloss-Brandstatter, Mohammad Kamal, Jan Teichmann, Ali Modabber, Frank Hoelzle, Bernd Lethaus^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

The necessary extent of cervical dissection in oral squamous cell carcinoma (OSCC) is still under discussion. Due to its anatomical properties Robins level IIb has a special role in neck dissection. This study focuses on the lymph node metastatic behaviour of OSCC in level IIb and evaluates its worth of dissection. 183 consecutive patients with OSCC were retrospectively screened for age, gender, TNM classification, cancer stage (after UICC), tumour localization, tumour infiltrations depth, and affected cervical lymph node levels. Associations between lymph node metastases and the above-mentioned characteristics were evaluated using Pearson's chi square test and Spearman's rho correlation analyses. Metastases in level IIb were seen in only 3.3% of all patients, and none of these metastases were an exclusive metastasis. Lymph node metastases most likely occurred in levels I and IIa at ipsilateral sites, and metastases were significantly related to tumour size (p?

Original language	English
Pages (from-to)	1733-1736
Journal	Journal of Cranio-Maxillofacial Surgery
Volume	44
Issue number	10
DOIs	https://doi.org/10.1016/j.jcms.2016.08.003
Publication status	Published - Oct 2016

Keywords

Neck dissection
Level II
Metastasis
Lymph node
OSCC

Access to Document

10.1016/j.jcms.2016.08.003

Cite this

@article{35c5ccc03b4b4e6da371971579c359eb,

title = "{"}IIb or not IIb{"} - The necessity of dissection in patients with oral squamous cell carcinoma",

abstract = "The necessary extent of cervical dissection in oral squamous cell carcinoma (OSCC) is still under discussion. Due to its anatomical properties Robins level IIb has a special role in neck dissection. This study focuses on the lymph node metastatic behaviour of OSCC in level IIb and evaluates its worth of dissection. 183 consecutive patients with OSCC were retrospectively screened for age, gender, TNM classification, cancer stage (after UICC), tumour localization, tumour infiltrations depth, and affected cervical lymph node levels. Associations between lymph node metastases and the above-mentioned characteristics were evaluated using Pearson's chi square test and Spearman's rho correlation analyses. Metastases in level IIb were seen in only 3.3% of all patients, and none of these metastases were an exclusive metastasis. Lymph node metastases most likely occurred in levels I and IIa at ipsilateral sites, and metastases were significantly related to tumour size (p?",

keywords = "Neck dissection, Level II, Metastasis, Lymph node, OSCC",

author = "Bartella, {Alexander K.} and Anita Kloss-Brandstatter and Mohammad Kamal and Jan Teichmann and Ali Modabber and Frank Hoelzle and Bernd Lethaus",

year = "2016",

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T1 - "IIb or not IIb" - The necessity of dissection in patients with oral squamous cell carcinoma

AU - Bartella, Alexander K.

AU - Kloss-Brandstatter, Anita

AU - Kamal, Mohammad

AU - Teichmann, Jan

AU - Modabber, Ali

AU - Hoelzle, Frank

AU - Lethaus, Bernd

PY - 2016/10

Y1 - 2016/10

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AB - The necessary extent of cervical dissection in oral squamous cell carcinoma (OSCC) is still under discussion. Due to its anatomical properties Robins level IIb has a special role in neck dissection. This study focuses on the lymph node metastatic behaviour of OSCC in level IIb and evaluates its worth of dissection. 183 consecutive patients with OSCC were retrospectively screened for age, gender, TNM classification, cancer stage (after UICC), tumour localization, tumour infiltrations depth, and affected cervical lymph node levels. Associations between lymph node metastases and the above-mentioned characteristics were evaluated using Pearson's chi square test and Spearman's rho correlation analyses. Metastases in level IIb were seen in only 3.3% of all patients, and none of these metastases were an exclusive metastasis. Lymph node metastases most likely occurred in levels I and IIa at ipsilateral sites, and metastases were significantly related to tumour size (p?

KW - Neck dissection

KW - Level II

KW - Metastasis

KW - Lymph node

KW - OSCC

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DO - 10.1016/j.jcms.2016.08.003

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