University of Khartoum

Pattern of regional recurrence following neck dissection in oral squamous cell carcinoma

Pattern of regional recurrence following neck dissection in oral squamous cell carcinoma

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Title: Pattern of regional recurrence following neck dissection in oral squamous cell carcinoma
Author: Eltohami, Yousif Idris; Mahmoud, M.; Suleiman, Ahmed M.
Abstract: Background: Cervicalmetastasis from OSCC has a significant impact on its prognosis, and regional recurrence further reduces the survival rate. Neck dissection has been widely accepted as an imperative approach to improve the treatment outcome and quality of life. Objectives: To study the frequency and pattern of neck recurrence among OSCC patients following local resection and neck dissection. Methods: The medical records of 160 patients with OSCC, who underwent neck dissections at Khartoum Teaching Dental Hospital between 2013 and 2016, were reviewed. The 160 patients were 95 males and 65 females with a median age of 60 years. Findings: Out of the 160 patients who underwent neck dissections, 5(3.1%) patients developedregionalrecurrences in the neck, and an additional 5 (3.1%) patients had both local and regional recurrences. Moreover, 129 patients (80.6%) were recurrencefree, whereas the remaining subjects developed local recurrences (13.1%). No significant difference in regional recurrence was found in terms of age, gender and type of neck dissection. However, the results indicated that adjuvant chemo or radiotherapy can reduce the incidence of regional recurrence, as only one of the 5 subjects with regional recurrence underwent postoperative chemotherapy Conclusion: The therapeutic importance of neck dissection as an integral treatment modality in managing patients with OSCC is well-documented, and the effect of this approach in improving treatment outcome cannot be denied. In the present study, there was a low rate of regional recurrence after neck dissection, which is in agreement with the sheer volume of studies in the literature.
URI: http://khartoumspace.uofk.edu/123456789/27674


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