Sensory changes associated with selective neck dissection.

Autor:	Saffold SH; Department of Otolaryngology, Head and Neck Surgery, Oregon Health Sciences University, Portland 97201, USA., Wax MK, Nguyen A, Caro JE, Andersen PE, Everts EC, Cohen JI
Jazyk:	angličtina
Zdroj:	Archives of otolaryngology--head & neck surgery [Arch Otolaryngol Head Neck Surg] 2000 Mar; Vol. 126 (3), pp. 425-8.
DOI:	10.1001/archotol.126.3.425
Abstrakt:	Objective: To evaluate sensory changes in the head and neck region associated with selective neck dissection with or without preservation of cervical root branches. Design: Retrospective cohort study. Setting: University tertiary referral hospital and a Veterans Affairs hospital. Patients: Fifty-seven patients who had undergone 84 neck dissections with or without preservation of the sensory cervical root branches 3 or more months before evaluation. Interventions: Questionnaire combined with head and neck sensory examination. Main Outcome Measures: Neck and facial sensory function. Results: Neck dissections with preservation of the cervical rootlets were most likely to be associated with a small area of anesthesia in the upper neck below the body of the mandible and anterior to the mid-body of the mandible (P=.03). Neck dissections without rootlet-preserving technique increased the area of anesthesia to include all other areas of the neck (P= .02). Conclusions: Preservation of the cervical root branches resulted in a small, limited, and uniform area of the neck rendered permanently anesthetic. Conversely, sacrifice of the nerve branches led to a pattern of anesthesia involving the entire neck.
Databáze:	MEDLINE
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