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<p>Submandibular Gland (SMG) is routinely sacrificed during neck dissection(ND). Features like xerostomia following bilateral ND and post-operative radiotherapy hamper the quality of life. We carried out this study to determine the prevalence of SMG involvement in oral-squamous-cell- carcinoma(OSCC) and to study risk factors for SMG involvement in OSCC. Biopsy-proven cases of OSCC undergoing definitive surgery with ND from August 2018 to December 2023 were recruited. Demographic, clinical, radiological and histopathological data were collected and analyzed. 271 NDs (unilateral-183,bilateral-44) done for 227 cases were identified. Four(1.47%), out of 271 dissected SMG were involved by tumour; one was by direct extension from the primary tumour and rest three were involved by extranodal extension. The study confirms the low prevalence of SMG involvement in OSCC. In Early-malignancies; SMG can be spared during ND. Advanced malignancies with Level IB nodal positivity warrant SMG removal for oncological clearance.</p>

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Submandibular Gland Excision in Oral Squamous Cell Carcinoma: Is It a Necessity?

  • 期刊论文

  • 发表日期：

    2026年3月28日

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  • Zaid Shaikh,
  • Pradipta Kumar Parida,
  • Vinusree Karakkandy,
  • Charishma Bondada,
  • Hiba Hameed,
  • Aravind Krishnan,
  • Preetam Chappity,
  • Pradeep Pradhan,
  • Saurav Sarkar,
  • Dillip Kumar Samal,
  • Saurav Nayak,
  • Amit Adhya,
  • Asutosh Adhikari

摘要

Submandibular Gland (SMG) is routinely sacrificed during neck dissection(ND). Features like xerostomia following bilateral ND and post-operative radiotherapy hamper the quality of life. We carried out this study to determine the prevalence of SMG involvement in oral-squamous-cell- carcinoma(OSCC) and to study risk factors for SMG involvement in OSCC. Biopsy-proven cases of OSCC undergoing definitive surgery with ND from August 2018 to December 2023 were recruited. Demographic, clinical, radiological and histopathological data were collected and analyzed. 271 NDs (unilateral-183,bilateral-44) done for 227 cases were identified. Four(1.47%), out of 271 dissected SMG were involved by tumour; one was by direct extension from the primary tumour and rest three were involved by extranodal extension. The study confirms the low prevalence of SMG involvement in OSCC. In Early-malignancies; SMG can be spared during ND. Advanced malignancies with Level IB nodal positivity warrant SMG removal for oncological clearance.