Robot-assisted supraomohyoid neck dissection via a modified face-lift or retroauricular approach in early-stage cN0 squamous cell carcinoma of the oral cavity

A comparative study with conventional technique

Hyoung Shin Lee, Won Shik Kim, Hyun Jun Hong, Myung Jin Ban, Dongwon Lee, Yoonwoo Koh, Eun Chang Choi

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Background. Supraomohyoid neck dissection (SOND) in clinical N0 (cN0) neck of oral cavity squamous cell carcinoma (SCC) is performed by many head and neck surgeons showing improved regional control and disease-specific survival. However, disfiguring neck scars have been accepted to be unavoidable. In this study, we sought to introduce and evaluate the feasibility of our surgical technique to hide the external scar of neck dissection using the robotic system via a modified face-lift or retroauricular approach. Methods. Twenty-six patients with cN0 oral cavity SCC were divided into two groups of robot-assisted neck dissection and conventional neck dissection via external cervical incision. The operation time, amount and duration of drainage, length of hospital stay, complications, number of retrieved lymph nodes, and satisfaction scores were compared. Results. Mean operation time was longer in the robot-assisted group (157 ± 22 min) than the conventional group (78 ± 16 min) (P<0.001). However, the amount and duration of drainage, hospital stay, retrieved lymph nodes, and complications were comparable. Because the postoperative scar was hidden by the auricle and hair, the satisfaction score was significantly higher in the robot-assisted group (P<0.001). Conclusions. Robot-assisted SOND via a modified face-lift or retroauricular approach in cN0 oral cavity SCC was feasible compared to conventional technique and showed a clear cosmetic benefit. Longer operation time remains the drawback of this procedure. However, it could be considered for patients who require SOND and prefer to avoid external neck scar.

Original languageEnglish
Pages (from-to)3871-3878
Number of pages8
JournalAnnals of Surgical Oncology
Volume19
Issue number12
DOIs
Publication statusPublished - 2012 Nov 1

Fingerprint

Rhytidoplasty
Neck Dissection
Mouth
Squamous Cell Carcinoma
Cicatrix
Length of Stay
Neck
Drainage
Lymph Nodes
Robotics
Cosmetics
Hair
Head
Survival

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oncology

Cite this

@article{0f78584bcdb540daa452de0724959780,
title = "Robot-assisted supraomohyoid neck dissection via a modified face-lift or retroauricular approach in early-stage cN0 squamous cell carcinoma of the oral cavity: A comparative study with conventional technique",
abstract = "Background. Supraomohyoid neck dissection (SOND) in clinical N0 (cN0) neck of oral cavity squamous cell carcinoma (SCC) is performed by many head and neck surgeons showing improved regional control and disease-specific survival. However, disfiguring neck scars have been accepted to be unavoidable. In this study, we sought to introduce and evaluate the feasibility of our surgical technique to hide the external scar of neck dissection using the robotic system via a modified face-lift or retroauricular approach. Methods. Twenty-six patients with cN0 oral cavity SCC were divided into two groups of robot-assisted neck dissection and conventional neck dissection via external cervical incision. The operation time, amount and duration of drainage, length of hospital stay, complications, number of retrieved lymph nodes, and satisfaction scores were compared. Results. Mean operation time was longer in the robot-assisted group (157 ± 22 min) than the conventional group (78 ± 16 min) (P<0.001). However, the amount and duration of drainage, hospital stay, retrieved lymph nodes, and complications were comparable. Because the postoperative scar was hidden by the auricle and hair, the satisfaction score was significantly higher in the robot-assisted group (P<0.001). Conclusions. Robot-assisted SOND via a modified face-lift or retroauricular approach in cN0 oral cavity SCC was feasible compared to conventional technique and showed a clear cosmetic benefit. Longer operation time remains the drawback of this procedure. However, it could be considered for patients who require SOND and prefer to avoid external neck scar.",
author = "Lee, {Hyoung Shin} and Kim, {Won Shik} and Hong, {Hyun Jun} and Ban, {Myung Jin} and Dongwon Lee and Yoonwoo Koh and Choi, {Eun Chang}",
year = "2012",
month = "11",
day = "1",
doi = "10.1245/s10434-012-2423-2",
language = "English",
volume = "19",
pages = "3871--3878",
journal = "Annals of Surgical Oncology",
issn = "1068-9265",
publisher = "Springer New York",
number = "12",

}

Robot-assisted supraomohyoid neck dissection via a modified face-lift or retroauricular approach in early-stage cN0 squamous cell carcinoma of the oral cavity : A comparative study with conventional technique. / Lee, Hyoung Shin; Kim, Won Shik; Hong, Hyun Jun; Ban, Myung Jin; Lee, Dongwon; Koh, Yoonwoo; Choi, Eun Chang.

In: Annals of Surgical Oncology, Vol. 19, No. 12, 01.11.2012, p. 3871-3878.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Robot-assisted supraomohyoid neck dissection via a modified face-lift or retroauricular approach in early-stage cN0 squamous cell carcinoma of the oral cavity

T2 - A comparative study with conventional technique

AU - Lee, Hyoung Shin

AU - Kim, Won Shik

AU - Hong, Hyun Jun

AU - Ban, Myung Jin

AU - Lee, Dongwon

AU - Koh, Yoonwoo

AU - Choi, Eun Chang

PY - 2012/11/1

Y1 - 2012/11/1

N2 - Background. Supraomohyoid neck dissection (SOND) in clinical N0 (cN0) neck of oral cavity squamous cell carcinoma (SCC) is performed by many head and neck surgeons showing improved regional control and disease-specific survival. However, disfiguring neck scars have been accepted to be unavoidable. In this study, we sought to introduce and evaluate the feasibility of our surgical technique to hide the external scar of neck dissection using the robotic system via a modified face-lift or retroauricular approach. Methods. Twenty-six patients with cN0 oral cavity SCC were divided into two groups of robot-assisted neck dissection and conventional neck dissection via external cervical incision. The operation time, amount and duration of drainage, length of hospital stay, complications, number of retrieved lymph nodes, and satisfaction scores were compared. Results. Mean operation time was longer in the robot-assisted group (157 ± 22 min) than the conventional group (78 ± 16 min) (P<0.001). However, the amount and duration of drainage, hospital stay, retrieved lymph nodes, and complications were comparable. Because the postoperative scar was hidden by the auricle and hair, the satisfaction score was significantly higher in the robot-assisted group (P<0.001). Conclusions. Robot-assisted SOND via a modified face-lift or retroauricular approach in cN0 oral cavity SCC was feasible compared to conventional technique and showed a clear cosmetic benefit. Longer operation time remains the drawback of this procedure. However, it could be considered for patients who require SOND and prefer to avoid external neck scar.

AB - Background. Supraomohyoid neck dissection (SOND) in clinical N0 (cN0) neck of oral cavity squamous cell carcinoma (SCC) is performed by many head and neck surgeons showing improved regional control and disease-specific survival. However, disfiguring neck scars have been accepted to be unavoidable. In this study, we sought to introduce and evaluate the feasibility of our surgical technique to hide the external scar of neck dissection using the robotic system via a modified face-lift or retroauricular approach. Methods. Twenty-six patients with cN0 oral cavity SCC were divided into two groups of robot-assisted neck dissection and conventional neck dissection via external cervical incision. The operation time, amount and duration of drainage, length of hospital stay, complications, number of retrieved lymph nodes, and satisfaction scores were compared. Results. Mean operation time was longer in the robot-assisted group (157 ± 22 min) than the conventional group (78 ± 16 min) (P<0.001). However, the amount and duration of drainage, hospital stay, retrieved lymph nodes, and complications were comparable. Because the postoperative scar was hidden by the auricle and hair, the satisfaction score was significantly higher in the robot-assisted group (P<0.001). Conclusions. Robot-assisted SOND via a modified face-lift or retroauricular approach in cN0 oral cavity SCC was feasible compared to conventional technique and showed a clear cosmetic benefit. Longer operation time remains the drawback of this procedure. However, it could be considered for patients who require SOND and prefer to avoid external neck scar.

UR - http://www.scopus.com/inward/record.url?scp=84868114384&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84868114384&partnerID=8YFLogxK

U2 - 10.1245/s10434-012-2423-2

DO - 10.1245/s10434-012-2423-2

M3 - Article

VL - 19

SP - 3871

EP - 3878

JO - Annals of Surgical Oncology

JF - Annals of Surgical Oncology

SN - 1068-9265

IS - 12

ER -