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Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Nov;118(5):546-52. doi: 10.1016/j.oooo.2014.07.001. Epub 2014 Jul 15.

Long-term outcomes of endoscopic neck dissection in the treatment of early-stage oral cancer: a pilot study.

Author information

1
Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, China.
2
Associate Professor, Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, China.
3
Attending Physician, Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, China.
4
Professor and Chairman, Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, Guangdong, China. Electronic address: Drliaoguiqing@hotmail.com.

Abstract

OBJECTIVE:

This study aimed to investigate the feasibility and safety of endoscopic neck dissection in the treatment of early-stage oral cancer and to evaluate the long-term clinical outcomes.

STUDY DESIGN:

Six patients with early-stage oral cancer were enrolled in this pilot study from December 2006 to May 2007. All the patients underwent endoscopic selective neck dissection (levels I-IV) of the ipsilateral neck and partial glossectomy or hemiglossectomy as the primary treatment.

RESULTS:

All endoscopic procedures were successfully performed, with important neck structures identified and preserved. All the patients survived with no persistent or recurrent disease during the 76- to 83-month follow-up.

CONCLUSIONS:

Our preliminary results indicated that endoscopic neck dissection is a technically feasible and safe technique for treating early-stage oral cancer. The oncologic indications and validation should be further confirmed in patients with clinically positive neck lymph nodes in a future study.

PMID:
25442490
DOI:
10.1016/j.oooo.2014.07.001
[Indexed for MEDLINE]

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