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En Block Versus Separate Management of Cervical Nodes in Tongue and Floor of the Mouth Cancers- Is There a Difference? An Analysis of 85 Cases in a Tertiary Care Institute

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dc.contributor.authorNeville, J.F.
dc.contributor.authorTilak, Mandar
dc.contributor.authorSingh, Akhilesh Kumar
dc.contributor.authorSharma, Naresh Kumar
dc.contributor.authorKumar, Janani Anand
dc.contributor.authorMishra, Nitesh
dc.contributor.authorDurrani, Farhan
dc.date.accessioned2025-01-27T09:43:32Z
dc.date.available2025-01-27T09:43:32Z
dc.date.issued2022
dc.description.abstractTo evaluate difference in local recurrence, regional (neck) recurrence as well as distant metastases between cases operated with en-block excision of primary cancer and neck nodes versus their separate removal, in squamous cell carcinomas of anterior 2/3 of tongue and floor of the mouth. A total 85 patients of cT1-T4a N0-N2b of carcinoma�anterior 2/3 of tongue and floor of mouth�were evaluated. Amongst these patients�39 cases of in-continuity en-block neck dissection and 46 cases of discontinuous neck dissection were evaluated for post-operative�complications�as well as oncological outcome for a follow up period of 3�years. Patient population was similar in both groups with tongue cancers being the commonest�site�and tobacco being the most common addiction. Primary site hematoma was seen more in the in-continuity en-block neck dissection group with a p-value of 0.0276, which was statistically significant. Post-operative oro-cutaneous fistula occurred more in in-continuity�enblock�neck dissection as compared to discontinuous neck dissection, but the difference was not statistically significant. Local recurrence rate was significantly more in cases of discontinuous neck dissection (19.565) as compared to in-continuity en-block neck dissection (5.12%) with a p-Value 0.0481. A statistically non-significant but higher loco-regional recurrence was observed in cases of discontinuous neck dissection as compared to cases of�in-continuity en-block neck dissection (10.56% vs 2.56). In the present study recurrence-free survival RFS 3�year in cases of en-block in-continuity neck dissection (84.06%) cases as compared to discontinuous neck dissection cases (63.04%) with p Value 0.025698. In-continuity�en-block in continuity neck dissection has lower loco-regional recurrence and may impact overall distant metastases. Though early postoperative complications are more in in-continuity�en-block in continuity neck dissection as compared to discontinuous neck dissection, most are managed conservatively. Further studies with a larger sample size are needed to evaluate its outcome in a comprehensive manner. � 2021, Association of Otolaryngologists of India.
dc.identifier.doihttps://doi.org/10.1007/s12070-021-02743-1
dc.identifier.issn22313796
dc.identifier.urihttps://dl.bhu.ac.in/ir/handle/123456789/12786
dc.publisherSpringer
dc.subjectDiscontinuous
dc.subjectFloor of the mouth
dc.subjectIn-continuity
dc.subjectNeck dissection
dc.subjectOral tongue
dc.subjectSquamous cell carcinoma
dc.titleEn Block Versus Separate Management of Cervical Nodes in Tongue and Floor of the Mouth Cancers- Is There a Difference? An Analysis of 85 Cases in a Tertiary Care Institute
dc.typeArticle
dspace.entity.typePublication
journal.titleIndian Journal of Otolaryngology and Head and Neck Surgery
journalvolume.identifier.volume74

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2022