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Published in: Indian Journal of Otolaryngology and Head & Neck Surgery 2/2023

21-01-2023 | Oral Cancer | Original Article

Submandibular Gland in Neck Dissection: Necessary Fatality or Unfortunate Prey?

Authors: Tashnin Rahman, Kirti Khandelwal, Srinivas Bannoth, Ashok Kumar Das, Rajjyoti Das, Kishore Das, Anupam Das, Kaberi Kakati

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 2/2023

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Abstract

Excision of submandibular gland is currently victim in all neck dissections. In this study we intend to estimate the prevalence of submandibular gland involvement in squamous cell oral carcinomas and identify the factors associated with it. This is a single institutional, retrospective observational study conducted from 22 to 2018 to 28 February 2020. 317 patients were included for analysis as per study criteria. The prevalence of involvement of submandibular gland was 3.8%. Increased risk of submandibular gland involvement was associated with involvement of level-Ib nodes (Odds ratio: 13.6, 2.9–63.3, 95% CI and p = < 0.001) and presence of extra-nodal extension (Odds ratio: 67, 8.4–532, 95% CI and p = < 0.001) and perineurial invasion (Odds ratio: 5, 1.6–16.8 and p = 0.003). In oral cancers, especially early stage carcinoma of buccal mucosa, submandibular gland preservation may be feasible in absence of extra-nodal extension and level-Ib involvement.
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Metadata
Title
Submandibular Gland in Neck Dissection: Necessary Fatality or Unfortunate Prey?
Authors
Tashnin Rahman
Kirti Khandelwal
Srinivas Bannoth
Ashok Kumar Das
Rajjyoti Das
Kishore Das
Anupam Das
Kaberi Kakati
Publication date
21-01-2023
Publisher
Springer India
Published in
Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 2/2023
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-023-03478-x

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