ISSN: 2161-119X

Otolaryngology: Open Access
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  • Mini Review   
  • Otolaryngol (Sunnyvale) 2016, Vol 6(5): 273
  • DOI: 10.4172/2161-119X.1000273

Role of Elective Neck Management in Maxillary Sinus Squamous Cell Carcinoma

Pauline Castelnau-Marchand, Eleonor Rivin Del Campo and Yungan Tao
Department of Radiation Oncology, Gustave-Roussy, Paris Sud University, , Villejuif, France
*Corresponding Author : Pauline Castelnau-Marchand,Eleonor Rivin del Campo ,Yungan Tao

Received Date: Oct 07, 2016 / Accepted Date: Oct 25, 2016 / Published Date: Oct 31, 2016

Abstract

Maxillary sinus carcinoma is relatively rare. Standard treatment consists in surgery followed by adjuvant radiotherapy or chemoradiotherapy. The rate of neck lymph node metastasis during follow-up is about 5-30% and this event is a poor prognostic factor. It often occurs in large primary tumours (T3-T4). The role of prophylactic neck management, selective neck dissection (SND) or elective neck irradiation (ENI), remains unclear in N0 patients. Few studies specifically discuss the role of SND. A French study suggested SND could be proposed when primary surgery is feasible, especially for high tumour volume (T3-T4). Besides, it can be useful for lymph node staging and determining radiotherapy dose and volume. The role of ENI remains unclear and controversial, although some studies suggest a potential reduction of neck relapse with it. ENI (ipsilateral level II, +/- Ib and III or bilateral neck according to the primary tumour extension) could be proposed in selected patients, especially for T3-4 disease and when SND has not been performed. Intensity-modulated radiotherapy (IMRT) should be considered, whenever feasible, to reduce toxicity.

Keywords: Maxillary sinus; Squamous cell carcinoma; Neck irradiation

Citation: Castelnau-Marchand P, del Campo ER, Tao Y (2016) Role of Elective Neck Management in Maxillary Sinus Squamous Cell Carcinoma. Otolaryngol (Sunnyvale) 6:273. Doi: 10.4172/2161-119X.1000273

Copyright: © 2016 Castelnau-Marchand P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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