ࡱ> )+([  bjbj .ΐΐ77777KKKK W Kccccc>>>bddddddYd7>>>>>d77ccy...>.7c7cb.>b...cZ#e_Kl .N0._v_._7. >>.>>>>>dd.>>>>>>>_>>>>>>>>> : Efficacy of Selective Neck Dissection in the Management of Clinical and Pathological N1/N2 Oral Cavity Squamous Cell Carcinoma Battoo A J; Naveen K; Zahoor S A; Duarah S; Iyer S; Bahadur S; Kuriakose M A Background: Techniques of neck dissection have evolved towards a more selective approach with time. Considering that level V is rarely involved in oral squamous cell carcinoma (OSCC) we at Head & Neck Institute, Amrita Institute of Medical Sciences(AIMS) follow a protocol of selective neck dissection (SND) of levels I-II/IV for N1/N2 neck in OSCC.In this perspective we endeavoured to retrospectively analyse our efficacy with the said approach. Materials & Methods: Retrospective analysis of our patient database for OSCC patients operated in AIMS from 2004-2006 Results: Total of 223 OSCC patients were operated in the said time period of which 61 cases had N1/N2 OSCC.Out of 61 cases 19 were recurrent & 12 were pathologically N0,with remaining 30 cases being clinically and pathologically N1/N2.Out of 30 cases 27 cases (31 necks) underwent SND of levels I-II/IV. Total of 12 recurrences were noted but we did not have any isolated ipsilateral neck metastases. 24 of our patients received either post operative adjuvant radiotherapy or chemoradiotherapy.Median follow up was 22 months. Conclusion: SND (levels I-III/IV) for N1/N2 OSCC compares favourably with comprehensive neck dissection procedures & can be carried out with equal efficacy for N1 & selective N2 cases. $ ( 9  hLP)h7*5CJ \h7*     $a$$a$,1h/ =!"#$% ^ 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontViV 0 Table Normal :V 44 la (k ( 0No List 8B`8  Body Text 5CJ \8P`8  Body Text 2$a$PK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]     8@0(  B S  ?;U"0QYYxxy|LP)7*@`@UnknownG* Times New Roman5Symbol3. * ArialA BCambria Math"qhV؆: r  !r4d2HX $P7*2!xxdEfficacy of Selective Neck Dissection in the Management of N1/N2 Oral Cavity Squamous Cell Carcinomahns0t1f1otOh+'0$0<L \h   hEfficacy of Selective Neck Dissection in the Management of N1/N2 Oral Cavity Squamous Cell Carcinomahns0Normalt1f1ot11Microsoft Office Word@,@B&@e_՜.+,0P hp  1AIMS  eEfficacy of Selective Neck Dissection in the Management of N1/N2 Oral Cavity Squamous Cell Carcinoma Title !"#$%&'*Root Entry F`f#e_,1Table _WordDocument5SummaryInformation(DocumentSummaryInformation8 CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q