The Latest Advancements in Selective Neck Dissection for Early Stage Oral Squamous Cell Carcinoma

  • Zong-shan Shen
  • Jin-song Li
  • Wei-liang Chen
  • Song FanEmail author
Head and Neck Cancer (L Licitra, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Head and Neck Cancer

Opinion Statement

The management of cervical lymph node metastasis remains a crucial component of the treatment of head and neck cancers. However, the proper management of clinical N 0 cases with early-stage oral squamous cell carcinoma (OSCC) remains undefined. In the advent of minimally invasive techniques in the 1980s, these techniques have gained popularity among numerous surgeons in all fields of surgery. Although there are no randomized controlled trial data comparing the outcomes of minimally invasive techniques (endoscopically assisted selective neck dissection (SND), robot-assisted SND) with conventional techniques, encouraging evidence from several studies suggests that both endoscopically assisted SND and robot-assisted SND are safe, minimally invasive techniques with achieved short-term oncologic outcomes and can reach a better cosmetic outcome than conventional SND. In this review, we also compare the indications, surgical approaches, and relative advantages and disadvantages of conventional SND, endoscopically assisted SND, and robot-assisted SND to provide surgeons with a means to better consider these techniques for the treatment of early-stage OSCC.


Minimally invasive surgery Selective neck dissection Endoscopically assisted SND Robot-assisted SND Conventional SND Oral squamous cell carcinoma 



This study was supported by the Key Laboratory of Malignant Tumor Molecular Mechanism and Translational Medicine of Guangzhou Bureau of Science and Information Technology (Grant 2013163), Sun Yat-Sen University Clinical Research 5010 Program (Grant 2010008), National Natural Science Foundation of China Grant (81472521, 81272951, and 81072225 to Prof. Jin-song Li; 81172563 to Prof. Wei-liang Chen; and 81402251 to Dr. Song Fan), and Grant from Guangdong Science and Technology Department (2015B050501004).

Compliance with Ethical Standards

Conflict of Interest

Zong-shan Shen, Jin-song Li, Wei-liang Chen, and Song Fan declare they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Zong-shan Shen
    • 1
    • 2
    • 3
  • Jin-song Li
    • 1
    • 2
  • Wei-liang Chen
    • 1
    • 2
  • Song Fan
    • 1
    • 2
    • 4
    Email author
  1. 1.Department of Oral and Maxillofacial SurgerySun Yat-Sen Memorial Hospital of Sun Yat-Sen UniversityGuangzhouChina
  2. 2.Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation of Sun Yat-Sen Memorial HospitalGuangzhouChina
  3. 3.Resident, Department of Operative Dentistry and Endodontics, Guanghua School of Stomatology, Hospital of StomatologySun Yat-sen UniversityGuangzhouChina
  4. 4.Department of Surgery, Massachusetts General HospitalHarvard Medical SchoolBostonUSA

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