Research Article

Analysis of the Role of Selective Neck Dissection in Clinically Node-Positive T3/T4 Oral Cancers

Table 5

Previous studies on SND in node-positive head and neck cancers.

AuthorSample sizeSiteStageRegional failureConclusion

Kowalski and Carvalho [21] (2002)
SND in none
Oral cavity (100%)T1 (3%), T2 (45.7%), T3 (28.7%), T4 (22.6%)SND could be done in patients with cN+ at level 1
Andersen et al. [6] (2002)
SND in 100%
Oral cavity (39.6%), oropharynx (34.9%), larynx (18.9%), hypopharynx (6.6%)T1 (8.5%), T2 (26.4%), T3 (34.0%), T4 (30.2%)4.3%SND can be done in N+ head and neck cancers without massive adenopathy
Santos et al. [7] (2006)
SND in 28/191 (14.6%)
Oral cavity (14.3%), oropharynx (3.5%), larynx (60.8%), hypopharynx (17.9%), nasopharynx (3.5%)T1 (7.1%), T2 (7.1%), T3 (25%), T4 (60.8%)(4/28) 14.2%SND may be done in selected cases of T1, T2 with N1
Patel et al. [8] (2008) (232)
SND in 72/232 (31%)
Oral cavity (32.6%), oropharynx (34.6%), larynx (10.2%), hypopharynx (22.4%)T1-T2 (45.3%), T3-T4% (54.7%)(19/205) 9.2%SND can be done in selected N+ cases based on site (poor in hypopharynx), T stage (good in T1 & T2), and N stage (up to N1)
Shin et al. [9] (2013)
SND in 20/92 (21.7%)
Oral cavity (100%)T1 (13%), T2 (35.8%), T3 (13%), T4 (38%)(3/20) 15%SND combined with adjuvant therapy, survival rate comparable to CND in patients under cN2a OSCC
Givi et al. [10] (2011)
SND in all
Oral cavity (71.3%), oropharynx (22.2%), larynx (5%), hypopharynx (1%), nasopharynx (1%)T1 (14.8%), T2 (44.4%), T3 (9.3%), T4 (18.5%)(7) 6.5%SND can be done in selected N+ cases in the setting of MMT. Poor prognosis in oral cavity primaries, >2 neck nodes, and high T stage (T3 and T4)
Feng et al. [11] (2014)
SND in 68/143 (47.5%)
Oral cavity (100%) (tongue & floor of mouth)T1 (10.5%), T2 (19%), T3 (33%), T4 (37.3%)(11/65) 16.9%SND can be done in selected N+ cases
Iqbal et al. [12] (2014)
SND in 100%
cN+ in 61 (27.8%)
Oral cavity (100%)T1 (44%), T2 (37%), T3 (6%), T4 (9%)(8/61) 13%SND can be done in N+ oral cancers
Shimura et al. [13] (2019)
SND in 35/68 (51%)
Oral cavity (100%)T1(18%), T2(47%)
T3(9%), T4(26%)
(4/35) 11%SND can be done in N+ limited to levels I and II, for up to 2 lymph nodes that are <3 cm
Kakei et al. [23] (2020)
MND in all
Oral cavity (100%)T1 (4%), T2 (49%), T3 (22%), T4 (25%)Level V dissection can be excluded

SND: selective neck dissection; MND: modified neck dissection; CND: comprehensive neck dissection; MMT: multimodality treatment.