Tags

Type your tag names separated by a space and hit enter

Robot-assisted Supraomohyoid neck dissection via a modified face-lift or retroauricular approach in early-stage cN0 squamous cell carcinoma of the oral cavity: a comparative study with conventional technique.
Ann Surg Oncol. 2012 Nov; 19(12):3871-8.AS

Abstract

BACKGROUND

Supraomohyoid neck dissection (SOND) in clinical N0 (cN0) neck of oral cavity squamous cell carcinoma (SCC) is performed by many head and neck surgeons showing improved regional control and disease-specific survival. However, disfiguring neck scars have been accepted to be unavoidable. In this study, we sought to introduce and evaluate the feasibility of our surgical technique to hide the external scar of neck dissection using the robotic system via a modified face-lift or retroauricular approach.

METHODS

Twenty-six patients with cN0 oral cavity SCC were divided into two groups of robot-assisted neck dissection and conventional neck dissection via external cervical incision. The operation time, amount and duration of drainage, length of hospital stay, complications, number of retrieved lymph nodes, and satisfaction scores were compared.

RESULTS

Mean operation time was longer in the robot-assisted group (157 ± 22 min) than the conventional group (78 ± 16 min) (P < 0.001). However, the amount and duration of drainage, hospital stay, retrieved lymph nodes, and complications were comparable. Because the postoperative scar was hidden by the auricle and hair, the satisfaction score was significantly higher in the robot-assisted group (P < 0.001).

CONCLUSIONS

Robot-assisted SOND via a modified face-lift or retroauricular approach in cN0 oral cavity SCC was feasible compared to conventional technique and showed a clear cosmetic benefit. Longer operation time remains the drawback of this procedure. However, it could be considered for patients who require SOND and prefer to avoid external neck scar.

Authors+Show Affiliations

Department of Otolaryngology Head and Neck Surgery, Kosin University College of Medicine, Busan, South Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

22644516

Citation

Lee, Hyoung Shin, et al. "Robot-assisted Supraomohyoid Neck Dissection Via a Modified Face-lift or Retroauricular Approach in Early-stage cN0 Squamous Cell Carcinoma of the Oral Cavity: a Comparative Study With Conventional Technique." Annals of Surgical Oncology, vol. 19, no. 12, 2012, pp. 3871-8.
Lee HS, Kim WS, Hong HJ, et al. Robot-assisted Supraomohyoid neck dissection via a modified face-lift or retroauricular approach in early-stage cN0 squamous cell carcinoma of the oral cavity: a comparative study with conventional technique. Ann Surg Oncol. 2012;19(12):3871-8.
Lee, H. S., Kim, W. S., Hong, H. J., Ban, M. J., Lee, D., Koh, Y. W., & Choi, E. C. (2012). Robot-assisted Supraomohyoid neck dissection via a modified face-lift or retroauricular approach in early-stage cN0 squamous cell carcinoma of the oral cavity: a comparative study with conventional technique. Annals of Surgical Oncology, 19(12), 3871-8. https://doi.org/10.1245/s10434-012-2423-2
Lee HS, et al. Robot-assisted Supraomohyoid Neck Dissection Via a Modified Face-lift or Retroauricular Approach in Early-stage cN0 Squamous Cell Carcinoma of the Oral Cavity: a Comparative Study With Conventional Technique. Ann Surg Oncol. 2012;19(12):3871-8. PubMed PMID: 22644516.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Robot-assisted Supraomohyoid neck dissection via a modified face-lift or retroauricular approach in early-stage cN0 squamous cell carcinoma of the oral cavity: a comparative study with conventional technique. AU - Lee,Hyoung Shin, AU - Kim,Won Shik, AU - Hong,Hyun Jun, AU - Ban,Myung Jin, AU - Lee,Dongwon, AU - Koh,Yoon Woo, AU - Choi,Eun Chang, Y1 - 2012/05/30/ PY - 2012/01/09/received PY - 2012/5/31/entrez PY - 2012/5/31/pubmed PY - 2013/4/17/medline SP - 3871 EP - 8 JF - Annals of surgical oncology JO - Ann. Surg. Oncol. VL - 19 IS - 12 N2 - BACKGROUND: Supraomohyoid neck dissection (SOND) in clinical N0 (cN0) neck of oral cavity squamous cell carcinoma (SCC) is performed by many head and neck surgeons showing improved regional control and disease-specific survival. However, disfiguring neck scars have been accepted to be unavoidable. In this study, we sought to introduce and evaluate the feasibility of our surgical technique to hide the external scar of neck dissection using the robotic system via a modified face-lift or retroauricular approach. METHODS: Twenty-six patients with cN0 oral cavity SCC were divided into two groups of robot-assisted neck dissection and conventional neck dissection via external cervical incision. The operation time, amount and duration of drainage, length of hospital stay, complications, number of retrieved lymph nodes, and satisfaction scores were compared. RESULTS: Mean operation time was longer in the robot-assisted group (157 ± 22 min) than the conventional group (78 ± 16 min) (P < 0.001). However, the amount and duration of drainage, hospital stay, retrieved lymph nodes, and complications were comparable. Because the postoperative scar was hidden by the auricle and hair, the satisfaction score was significantly higher in the robot-assisted group (P < 0.001). CONCLUSIONS: Robot-assisted SOND via a modified face-lift or retroauricular approach in cN0 oral cavity SCC was feasible compared to conventional technique and showed a clear cosmetic benefit. Longer operation time remains the drawback of this procedure. However, it could be considered for patients who require SOND and prefer to avoid external neck scar. SN - 1534-4681 UR - https://www.unboundmedicine.com/medline/citation/22644516/Robot_assisted_Supraomohyoid_neck_dissection_via_a_modified_face_lift_or_retroauricular_approach_in_early_stage_cN0_squamous_cell_carcinoma_of_the_oral_cavity:_a_comparative_study_with_conventional_technique_ L2 - https://dx.doi.org/10.1245/s10434-012-2423-2 DB - PRIME DP - Unbound Medicine ER -