Comparison of the Complication Between the Radical Neck Dissection & Selective Neck Dissection for the Patient of Oral Squamous Cell carcinoma

Abstract

Objective: To compare the outcome of the radical neck dissection and selective neck dissection for control of the disease in those patients who have their nodal involvement localized to level I, II, III.

Study Design: Prospective Randomizing Study.

Place and Duration of Study: This study was conducted in Oral and Maxillofacial Surgery Department, Mayo Hospital, Lahore from 1^st January to 31^st December 2001.

Materials and Methods: The study was conducted in dental section, Mayo hospital, Lahore. Thirty patients of squamous cell carcinoma of oral cavity were selected and randomly divided into two groups. Group I was subjected to selective dissection of the tumour while group II was subjected to radical neck dissection. Postoperative complications were recorded each follow up visit.

Results: Post operatively, in group I secondary hemorrhage occurred in 26.7% while in group II, it occurred in 40.0%, group I showed delayed healing due to infection in 46.7% while in group II, it was 73.3 %. In group I and group II, there was no recurrence after 1 month, 3 month and 6 month. After 9 months recurrence was noted in groups. It was 20% in group I while 6.7% in group II.

Conclusion: Selective –neck dissection should be preferred in the patient of oral squamous cell carcinoma with level I,II, III lymph node involvement as compared to radical neck dissection however recurrence rate is higher in patients undergoing selective neck dissection as compared to patients undergoing radical neck dissection.