Publication:
Uludag experience in the neck treatment of the tongue corpus and floor of mouth squamous cell carcinomas

dc.contributor.buuauthorÖzmen, O. A.
dc.contributor.buuauthorÖZMEN, ÖMER AFŞIN
dc.contributor.buuauthorSaraydaroğlu, G.
dc.contributor.buuauthorErisen, L.
dc.contributor.buuauthorKasapoğlu, Fikret
dc.contributor.buuauthorKASAPOĞLU, FİKRET
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı.
dc.contributor.orcid0000-0002-9698-0546
dc.contributor.researcheridAAI-3877-2021
dc.contributor.researcheridA-1452-2019
dc.date.accessioned2024-10-01T10:03:46Z
dc.date.available2024-10-01T10:03:46Z
dc.date.issued2009-06-01
dc.description.abstractObjectives: The aim of this study is to review the treatment of the neck in tongue corpus (TC) and floor of mouth (FM) cancers which have high incidence of neck metastasis with the experience gained from our patients.Methods: Fourty-three patients who underwent primary surgery between June 1992 to April 2007 were analyzed retrospectively.Results: Forty-one neck dissections (ND) were employed in 38 patients. Neck recurrence was observed in five patients (12%). One of five (20%) clinically N0 patients who did not undergo ND had neck recurrence. On the other hand, three of 25 clinically N0 patients (12%) who had ND developed neck recurrence. Only one of 13 N(+) patients (% 8) had neck recurrence. On neck basis; among 32 patients who had selective ND, two of 19 patients with supraomohyoid ND (SOND) had neck recurrences whereas none of the 13 patients with extended SOND (ESOND) had neck recurrence. One of the neck recurrences was in the ipsilateral zone IV of a patient with SOND, another neck recurrence was in the ipsilateral zone V of a patient with modified radical ND (MRND). Remaining two patients had recurrence in the contralateral untreated neck. None of the eight clinically N1 patients who underwent selective ND had neck recurrence. Despite salvage treatments, all patients with neck recurrence died due to disease.Conclusion: The decision for excluding ND in oral cavity cancer should be given cautiously and ND should be employed in case of tumor depth more than 5 mm. We recommend ESOND as the selective ND in which zone IV is added to the dissection to be chosen in N0 patients. Selective ND's may be used effectively in selected N1 patients. Bilateral ND should be done especially in FM lesions and lesions crossing the midline.
dc.identifier.doi10.2399/tao.08.021
dc.identifier.endpage76
dc.identifier.issn2667-7466
dc.identifier.issue2
dc.identifier.startpage69
dc.identifier.urihttps://doi.org/10.2399/tao.08.021
dc.identifier.urihttps://hdl.handle.net/11452/45588
dc.identifier.volume47
dc.identifier.wos000421032800003
dc.indexed.wosWOS.ESCI
dc.language.isoen
dc.publisherGalenos Yayincilik
dc.relation.journalTurkish Archives Of Otorhinolaryngology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectLymph-node metastases
dc.subjectMobile tongue
dc.subjectOral-cavity
dc.subjectSalvage treatment
dc.subjectStage-i
dc.subjectDissection
dc.subjectCancer
dc.subjectPatterns
dc.subjectHead
dc.subjectTongue corpus
dc.subjectFloor of mouth
dc.subjectSquamous cell carcinoma
dc.subjectNeck metastasis
dc.subjectScience & technology
dc.subjectLife sciences & biomedicine
dc.subjectOtorhinolaryngology
dc.titleUludag experience in the neck treatment of the tongue corpus and floor of mouth squamous cell carcinomas
dc.typeArticle
dspace.entity.typePublication
relation.isAuthorOfPublicationf5faf2b2-e998-4b3c-a3a7-da845d815696
relation.isAuthorOfPublicationcfa6b56d-ac29-4916-8f7c-c5e51b793f11
relation.isAuthorOfPublication.latestForDiscoveryf5faf2b2-e998-4b3c-a3a7-da845d815696

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