OUTCOME OF SELECTIVE LYMPH NODE DISSECTION V/S RADICAL LYMPH NODE DISSECTION IN CASE OF ORAL CAVITY MALIGNANCIES.
All the patients had undergone surgical treatment for their primary lesion with cervical lymph node dissection, either radical neck dissection or selective neck dissection with or without radiotherapy after completion of the treatment, all were followed up and the results were studied.
To conclude, the management of the cervical nodes should be highly individualized and different approach should be offered to the patients, explaining the risks and benefits of the various procedures. Selective neck dissection, when used in combination with postoperative radiotherapy, is an efficacious way to manage metastatic squamous cell carcinoma of the neck in early nodal disease (N0, N1, N2a) and is being considered for more and more patients, with good results. For N2b disease and beyond Radical Neck Dissection with post-operative radiotherapy gives best loco-regional control .more studies need to be done with larger data base and multivariate analysis to formulate comprehensive guidelines for the management of neck in cases of oral cavity cancers, so as to have the best results with least morbidity.
Keywords: Lymph, Node, Oral, Cavity, Malignancy & Dissection.