We would like to make a few pertinent observations in reference to the recently published
clinical paper on “Gland-sparing neck dissection: oncological and functional outcomes
in oral cancer patients”, by Shih et al.
1
Proponents of submandibular gland (SMG) preservation in early oral squamous cell
carcinoma claim that the gland seldom has intra-glandular lymph nodes and is only
directly involved by contiguous invasion from a bulky tongue/floor of the mouth primary
or extranodal extension from malignant nodes around it. The authors could have included
tumour subsites that are in close proximity to the gland, such as the floor of the
mouth and the ventral surface of the oral tongue, to enhance their analysis. While
they include the tongue as a subsite, there is no subclassification (dorsal/ventral).- Shih H.
- Huang J.S.
- Huang T.T.
- Wong T.Y.
- Chen M.Y.
- Chen K.C.
Gland-sparing neck dissection: oncological and functional outcomes in oral cancer
patients.
Int J Oral Maxillofac Surg. 2022; (Epub ahead of print)https://doi.org/10.1016/j.ijom.2022.11.013
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References
- Gland-sparing neck dissection: oncological and functional outcomes in oral cancer patients.Int J Oral Maxillofac Surg. 2022; (Epub ahead of print)https://doi.org/10.1016/j.ijom.2022.11.013
- Does submandibular gland sacrificing neck dissection decrease salivary output and quality of life.ORL J Otorhinolaryngol Relat Spec. 2021; 83: 341-346https://doi.org/10.1159/000514134
- Functional outcomes after submandibular gland-sparing neck dissection in patients with oral squamous cell carcinoma.Int J Oral Maxillofac Surg. 2022; 51: 981-986https://doi.org/10.1016/j.ijom.2021.09.009
- Impact of submandibular gland excision on salivary gland function in head and neck cancer patients.Oral Oncol. 2010; 46: 349-354https://doi.org/10.1016/j.oraloncology.2009.11.018
- Submandibular gland sparing when irradiating neck level in the treatment of oral squamous cell carcinoma.Med Dosim. 2019; 44: 144-149https://doi.org/10.1016/j.meddos.2018.04.003
- Prospective investigation and literature review of tolerance dose on salivary glands using quantitative salivary gland scintigraphy in the intensity-modulated radiotherapy era.Head Neck. 2016; 38: E1746-E1755https://doi.org/10.1002/hed.24310
Article info
Publication history
Published online: March 03, 2023
Accepted:
February 13,
2023
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
