Expert consensus on the evaluation and rehabilitation management of shoulder syndrome after neek dissection for oral and maxillofacial malignancies
- VernacularTitle:口腔颌面部恶性肿瘤颈淋巴清扫术后肩臂综合征的评估与康复管理专家共识
- Author:
Jiacun LI
1
;
Moyi SUN
;
Jiaojie REN
;
Wei GUO
;
Longjiang LI
;
Zhangui TANG
;
Guoxin REN
;
Zhijun SUN
;
Jian MENG
;
Wei SHANG
;
Shaoyan LIU
;
Jie ZHANG
;
Jicheng LI
;
Yue HE
;
Chunjie LI
;
Kai YANG
;
Zhongcheng GONG
;
Qing XI
;
Bing HAN
;
Huaming MAI
;
Yanping CHEN
;
Jie ZHANG
;
Yadong WU
;
Chao LI
;
Changming AN
;
Chuanzheng SUN
;
Hua YUAN
;
Fan YANG
;
Haiguang YUAN
;
Dandong WU
;
Shuai FAN
;
Fei LI
;
Chao XU
;
Wei WEI
Author Information
- Keywords: Oral and maxillofacial tumors; Neck dissection; Shoulder-arm syndrome; Rehabilitation management
- From: Journal of Practical Stomatology 2024;40(5):597-607
- CountryChina
- Language:Chinese
- Abstract: Neck dissection(ND)is one of the main treatment methods for oral and maxillofacial malignancies.Although ND type is in con-stant improvement,but intraoperative peal-pull-push injury of the accessory nerve,muscle,muscle membrane,fascia and ligament induced shoulder syndrome(SS)is still a common postoperative complication,combined with the influence of radiochemotherapy,not only can cause pain,stiffness,numbness,limited dysfunction of shoulder neck and arm,but also may have serious impact on patient's life quality and phys-ical and mental health.At present,there is still a lack of a systematic evaluation and rehabilitation management program for postoperative SS of oral and maxillofacial malignant tumors.Based on the previous clinical practice and the current available evidence,refer to the relevant lit-erature at home and abroad,the experts in the field of maxillofacial tumor surgery and rehabilitation were invited to discuss,modify and reach a consenusus on the etiology,assessment diagnosis,differential diagnosis,rehabilitation strategy and prevention of SS,in order to provide clinical reference.
