Upper limb dysfunction following selective neck dissection: A retrospective questionnaire study
- 3 March 2009
- journal article
- research article
- Published by Wiley in Head & Neck
- Vol. 31 (6), 789-792
- https://doi.org/10.1002/hed.21018
Abstract
Background. To determine total upper limb function following selective neck dissection over a mean follow-up of 1.6 years. Methods. A retrospective questionnaire study in a tertiary head and neck surgical unit. One hundred forty-eight patients who underwent selective neck dissection for head and neck cancer from January 2000 to December 2005 were invited to participate. The main outcome measure was ipsilateral upper limb dysfunction as measured by the Disability of Arm, Shoulder and Hand (DASH) questionnaire. Results. Sixty-five patients responded to the invitation to join the study from 148 invited. Despite accessory nerve conserving surgery for all the selective neck dissections studied, 23% reported no upper limb dysfunction, 54% reported mild upper limb dysfunction, 15% reported moderate, and 8% reported a severe dysfunction. Conclusions. Long-term upper limb dysfunction is common following nerve preserving surgery. The DASH questionnaire is a useful preoperative and postoperative clinical tool for those patients undergoing selective neck dissections. © 2009 Wiley Periodicals, Inc. Head Neck, 2009Keywords
This publication has 17 references indexed in Scilit:
- Electromyographic Findings After Different Selective Neck DissectionsThe Laryngoscope, 2007
- Shoulder Disability After Different Selective Neck Dissections (Levels II???IV Versus Levels II???V): A Comparative StudyThe Laryngoscope, 2005
- Shoulder complaints after nerve sparing neck dissectionsInternational Journal of Oral & Maxillofacial Surgery, 2004
- Measuring the whole or the parts?Journal of Hand Therapy, 2001
- The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: Reliability and validity of the Swedish version evaluated in 176 patientsActa Orthopaedica, 2000
- Impact of Neck Dissection on Quality of LifeThe Laryngoscope, 1999
- Standardizing Neck Dissection Terminology: Official Report of the Academy's Committee for Head and Neck Surgery and OncologyJAMA Otolaryngology–Head & Neck Surgery, 1991
- Innervation of the trapezius muscle: A study in patients undergoing neck dissectionsHead & Neck, 1990
- Occurrence, Duration and Prognosis of Unexpected Accessory Nerve Paresis in Radical Neck DissectionActa Oto-Laryngologica, 1980
- A Syndrome Resulting from Radical Neck DissectionJAMA Otolaryngology–Head & Neck Surgery, 1961