The lateral cervical stria approach to selective neck dissection: a preliminary study.

Y Qian, Z Tian, B Li, Y Xu, Y Wang, Y Du, Y Bian
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Abstract

Background: This study aims to propose a lateral cervical stria approach for selective neck dissection (SND) in patients of early-stage oral malignancies.

Material and methods: The lateral cervical stria approach was used in 11 patients undergoing SND between December 2020 and March 2022. The surgical incision was located in submandibular cervical stria, with a length of 5.0 cm. The ipsilateral SND was performed according to the pathological type, covering part or all of I-V levels. Perioperative variables including operation time, blood loss, drainage volume, number of lymph node as well as complications were assessed. The score of appearance using the University of Washington Quality of Life Questionnaire (UW-QOL) was recorded 6-month postoperatively.

Results: Direct closure of primary lesion was performed in ten patients and a forearm free flap reconstruction was used in one patient. No wound breakdown or infection was found in all cases. The mean operative time of SND was 157.63±27.39 min. The volume of intraoperative blood loss and postoperative drainage was 120.45±36.77 ml and 314.09±98.82 ml, respectively. The mean number of retrieved lymph nodes was 17.89±6.03 (ranging from 12 to 31). Postoperative complications included mild static lower lip deviation (n=1), shoulder discomfort (n=1) and mild auricular paraesthesia (n=1). The mean score of appearance was 86.36±13.06, with 100 scores in 5 patients and 75 scores in 6 patients.

Conclusions: The lateral cervical stria approach for SND in early-stage oral malignancies is reliable, achieving to satisfactory functional and aesthetic outcomes.

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颈外侧纹入路选择性颈淋巴清扫术的初步研究。
背景:本研究旨在提出一种颈侧纹入路用于早期口腔恶性肿瘤患者的选择性颈部清扫(SND)。材料和方法:在2020年12月至2022年3月期间,对11例接受SND的患者采用颈侧纹入路。手术切口位于下颌下颈纹,切口长度5.0 cm。根据病理类型进行同侧SND,覆盖部分或全部I-V节段。评估围手术期变量包括手术时间、出血量、引流量、淋巴结数目及并发症。使用华盛顿大学生活质量问卷(UW-QOL)记录术后6个月的外观评分。结果:10例患者行原发病灶直接闭合,1例患者行前臂游离皮瓣重建。所有病例均未发现伤口破裂或感染。SND平均手术时间157.63±27.39 min,术中出血量120.45±36.77 ml,术后引流量314.09±98.82 ml。平均清扫淋巴结数17.89±6.03个(12 ~ 31个)。术后并发症包括轻度静下唇偏曲(n=1)、肩部不适(n=1)和轻度耳廓感觉异常(n=1)。外观评分平均为86.36±13.06分,其中100分5例,75分6例。结论:颈侧纹入路治疗早期口腔恶性肿瘤SND是可靠的,可获得满意的功能和美观效果。
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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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