Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

Elective Submandibular Gland Resection in Patients with Squamous Cell Carcinomas of the Tongue

Document Type : Original

Authors
Shadi Javadi 1
Bijan Khademi 1
Mohammad Mohammadianpanah 2
Mahmoud Shishegar 1
Amirhossein Babaei 1
1 Otolaryngology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
2 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
10.22038/ijorl.2020.44283.2463
Abstract
Introduction:
Submandibular gland resection is a controversial issue in patients with oral tongue squamous cell carcinomas (SCC). This study aimed to determine the frequency of submandibular gland involvement in patients who had undergone elective submandibular gland resection following oral tongue SCC.
 
Materials and Methods:
This cross-sectional retrospective study was performed between 2001 and 2017 on patients with oral tongue SCC who had undergone glossectomy in a referral center for otorhinolaryngology surgery, Shiraz, Iran.
 
Results:
In this study, 131 patients were included. Their mean age was 59.84 years (range: 19-86). The mean tumor size was 2.83 cm (range 0.3-7). The vast majority (92%) of the patients were at stage III-IVa and had well (55%) to moderate (31%) differentiated tumor. The mean diameter of the submandibular gland was 3.87 cm (range: 1.5-6 cm). There was only one (0.76%) patient with submandibular involvement. She was an 80-year-old woman with a T2 well differentiated tumor without cervical lymph node involvement in the neck node dissection.
 
Conclusion:
In patients with oral tongue SCC, submandibular gland involvement is rare and its elective resection in not recommended.
Keywords
Glossectomy
Lymph Node
Mouth
Submandibular Gland
Squamous Cell Carcinoma
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Iranian Journal of Otorhinolaryngology
Volume 33, Issue 1
January and February 2021
Pages 23-29