• Shibin Yu, Jinrong Li, Zubing Li, Wenfeng Zhang, and Jihong Zhao.
• The First Department of Oral and Maxillofacial Surgery, School of Stomatology, Wuhan University, 237 Luoyu Rd., Wuhan, 430079, China. yushibin@hotmail.com
• Am. J. Surg. 2006 Jan 1; 191 (1): 94-9.

BackgroundSupraomohyoid neck dissection (SOHND) has been identified as an appropriate staging procedure to provide valuable pathologic information of the neck for patients with oral squamous cell carcinoma. However, the role of SOHND as a therapeutic procedure, compared with the oncologic results of radical neck dissection, remains controversial for lack of adequate data in current literature.MethodsPatients with oral SCC who underwent elective SOHND and radical neck dissection (RND) between January 1, 1993, and December 31, 1999, were retrospectively reviewed. The 2 types of treatment were analyzed for incidence of neck recurrence and survival probabilities.ResultsNo significant differences were found between patients treated with SOHND versus RND. Occult metastasis rate, regional disease-free survival, overall and disease-free survival, and distant metastasis-free survival rates were found to be comparable.ConclusionsSOHND compares favorably with RND for the staging and treatment of patients with oral squamous cell carcinoma and negative neck.

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