Shoulder complaints after nerve sparing neck dissections
| Autor: | Pieter U. Dijkstra, J.Th.M. Plukker, J.L.N. Roodenburg, B. F. A. M. van der Laan, C.P. van Wilgen |
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| Přispěvatelé: | Pain in Motion, Physiotherapy, Human Physiology and Anatomy |
| Jazyk: | angličtina |
| Rok vydání: | 2004 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Activities of daily living Adolescent medicine.medical_treatment Lymph Node Excision/adverse effects Neck/innervation Modified Radical Neck Dissection Accessory Nerve Quality of life Neck Muscles Shoulder Pain Activities of Daily Living Neck Muscles/innervation Medicine Humans Chi-Square distribution Accessory Nerve/pathology Aged Head and Neck Neoplasms/radiotherapy business.industry Neck dissection Middle Aged Surgery Neck Dissection/adverse effects Radiation therapy Dissection Treatment Outcome Otorhinolaryngology Head and Neck Neoplasms Physical therapy Lymph Node Excision Neck Dissection Shoulder Pain/etiology Female Oral Surgery business Trapezius muscle aged 80 and over Chi-squared distribution human activities Neck Follow-Up Studies |
| Popis: | The purpose of the study was to analyse the prevalence of shoulder complaints after nerve sparing neck dissection at least 1 year after surgery, and to analyse the influence of radiation therapy on shoulder complaints. Patients were interviewed for shoulder complaints, and patients filled out the shoulder disability questionnaire to evaluate shoulder disability in daily activities. In total 137 patients; 51 after modified radical neck dissection (MRND), 21 after postero-lateral neck dissection (PLND), and 65 after supraomohyoid neck dissection (SOHND) were analysed. After MRND 33.3% of the patients experienced shoulder complaints, after PLND 66.7%, and after SOHND 20% of the patients experienced shoulder complaints. Type of neck dissection was significantly (P < 0.001) related to shoulder complaints. Outcome on the shoulder disability questionnaire also showed a significant (P < 0.01) difference in outcome for type of neck dissection. The prevalence of shoulder complaints after SOHND are low, and reduce disability in daily activities. Radiation therapy does not have a significant effect on shoulder complaints and disability. |
| Databáze: | OpenAIRE |
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