1987 Volume 33 Issue 5 Pages 965-970
The clinical study on 24 cases of gum carcinoma treated in our department from April 1982 to March 1986 was presented. Of the 24 cases, 3 cases were palliative, and 21 cases were surgically treated. Among the 21 surgical cases, radical neck dissection was performed in 18 cases and in 9 cases the lymph-nodes were proven positive.
The ratio of metastasis to neck lymph nodes was 3/8 (40%) from the maxilla, 5/6 (30%) from the mandible. The percentages of cases were neck dissection was performed, was 60% in the former, 80% in the latter. In the mandible, segmental and marginal resection was performed in 10 cases and 4 cases respectively.
It was concluded that an extra-oral approach to mandibular gum carcinoma requires neck dissection, especially modified neck dissection or supra-omohyoid neck dissection.