QUESTIONABLE NECESSITY TO REMOVE THE SUBMANDIBULAR GLAND IN NECK DISSECTION

被引：16
|
作者：
Takes, Robert P. [2 ]
Robbins, K. Thomas [3 ]
Woolgar, Julia A. [4 ]
Rinaldo, Alessandra [1 ]
Silver, Carl E. [5 ,6 ]
Olofsson, Jan [7 ]
Ferlito, Alfio [1 ]
机构：
[1] Univ Udine, Azienda Osped Univ, ENT Clin, Dept Surg Sci, I-33100 Udine, Italy
[2] Radboud Univ Nijmegen, Med Ctr, Dept Otolaryngol Head & Neck Surg, NL-6525 ED Nijmegen, Netherlands
[3] So Illinois Univ, Sch Med, Div Otolaryngol Head & Neck Surg, Springfield, IL USA
[4] Univ Liverpool, Sch Dent Sci & Dent Hosp, Liverpool L69 3BX, Merseyside, England
[5] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Surg, Bronx, NY 10467 USA
[6] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Otolaryngol Head & Neck Surg, Bronx, NY 10467 USA
[7] Haukeland Hosp, Dept Otolaryngol Head & Neck Surg, N-5021 Bergen, Norway
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2011年 / 33卷 / 05期
关键词：
head and neck cancer; neck dissection; regional metastasis; submandibular gland; function preservation; SQUAMOUS-CELL CARCINOMA; LYMPH-NODE METASTASES; ORAL-CANCER; INVOLVEMENT; TOPOGRAPHY; MANAGEMENT; PATTERNS; MOUTH; FLOOR; HEAD;
D O I：
10.1002/hed.21451
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Saliva is of major importance in taste, speech, swallowing, and protection against dental caries. Neck dissection surgery and/or radiotherapy may impair the function of the submandibular glands. Over the years, there has been a trend toward more conservative approaches to neck dissection. Metastasis to the submandibular gland itself is extremely rare and if removal of the lymph nodes of sublevel IB is imperative, it seems feasible to preserve the submandibular gland, unless it is involved by direct tumor extension of the primary tumor or the adjacent metastatic lymph nodes. Clinical studies to validate this concept are needed. (C) 2010 Wiley Periodicals, Inc. Head Neck 33: 743-745, 2011
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页码：743 / 745
页数：3
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