Is SSND safer than SOHND for oral carcinoma patients with N0 neck in terms of shoulder morbidity and recurrence rate?

Publication date: Available online 5 August 2017
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Sanjay Rastogi, Ashish Sharma, Rupshikha Choudhury, Siddhi Tripathi, Hessa Al Wayli, Anand Amrithraj A, Mahendra P. Reddy
AimTo estimate the clinical and functional results of patients who experienced distinctive varieties of neck dissection, with particular consideration to the shoulder function, rate of recurrence, and quality of life in N0 neck patients.Material and MethodA randomized clinical trial was conducted from August 2014 to March 2017 in which 20 adult patients with T1 to T3 lesions of the oral cavity with N0 neck were included. The subjects were randomly allocated to either Group I (10, selective neck dissection) or Group II (10, super-selective neck dissection). All patients were evaluated objectively for degree of abduction of the arm and subjectively for quality of life in the form of questionnaire both pre and post operatively for 6 months. Also, loco-regional recurrence was investigated for 2.5 years. The data was scrutinized by applying mean standard deviation, unpaired T- test and Mann Whitney U test and Kaplan-Meier test.ResultThe mean values of arm abduction test and quality of life were statistically significant (p<.05) in super selective neck dissection i.e. group II as compared to selective neck dissection i.e. group I at all-time intervals. The data analyzed for loco-regional recurrence revealed that that there was a statistical notable differentiation found amid both the groups (p<0.05) i.e. group II has better outcome.ConclusionThe results depict less shoulder morbidity and improved quality of life for Super selective neck dissection (group II) compared to Selective neck dissection (group I). Furthermore, the group II is better in terms of loco-regional recurrence which determines the oncologic safety of the procedure.



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