Questionable necessity to remove the submandibular gland in neck dissection

Head & Neck
Robert P TakesAlfio Ferlito

Abstract

Saliva is of major importance in taste, speech, swallowing, and protection against dental caries. Neck dissection surgery and/or radiotherapy may impair the function of the submandibular glands. Over the years, there has been a trend toward more conservative approaches to neck dissection. Metastasis to the submandibular gland itself is extremely rare and if removal of the lymph nodes of sublevel IB is imperative, it seems feasible to preserve the submandibular gland, unless it is involved by direct tumor extension of the primary tumor or the adjacent metastatic lymph nodes. Clinical studies to validate this concept are needed.

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Citations

May 6, 2014·The British Journal of Oral & Maxillofacial Surgery·Rory O'ConnorPeter A Brennan
Jan 17, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Carlos SuárezAlfio Ferlito
Aug 11, 2016·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Gaurav AgarwalSushil S Chavan
Mar 1, 2015·Auris, Nasus, Larynx·Naresh K PandaDebajyoti Chatterjee
Jan 27, 2015·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Monika S Malgonde, Manoj Kumar
Jul 28, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Cassie FivesPatrick Sheahan
Jan 23, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Brittany E HowardRichard E Hayden
May 11, 2021·International Archives of Otorhinolaryngology·Hamdan Ahmed PashaMumtaz Jamshed Khan

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