Shoulder function after neck dissection with level IIb preservation: a prospective observational study.
Acta Otolaryngol
; 143(9): 814-822, 2023 Sep.
Article
em En
| MEDLINE
| ID: mdl-37772758
ABSTRACT
BACKGROUND:
Shoulder syndrome can be reduced by preserving the spinal accessory nerve (SAN). However, it is unclear whether performing level IIb preservation will decrease the risk of SAN injury and shoulder syndrome. AIMS/OBJECTIVES:
We investigated whether neck dissection with level IIb preservation can reduce shoulder dysfunction and postoperative quality of life (QOL) in head and neck cancer patients. MATERIAL ANDMETHODS:
This prospective observational study enrolled patients who underwent neck dissection from 2011 to 2014. Patients were divided into three groups (level IIb preservation group [group 1], IIb dissection group [group 2], and IIb and V dissection group [group 3]). Postoperative shoulder function and QOL were evaluated among the three groups.RESULTS:
There were a total of 35 neck sides in three groups, with nine neck sides in group 1, 16 neck sides in group 2, and 10 neck sides in group 3. Although the results showed less shoulder dysfunction in group 1 at early postoperative period. The QOL in group 1 was preserved in the early postoperative period. CONCLUSIONS ANDSIGNIFICANCE:
Neck dissection with level IIb preservation may help reduce shoulder syndrome and maintain QOL in the early postoperative period.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ombro
/
Neoplasias de Cabeça e Pescoço
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article