The impacts of various types of neck dissection on postoperative shoulder function for patients with oral squamous cell carcinoma.
- Author:
Xiu-wen LUAN
1
;
Chi MAO
;
Guang-yan YU
;
Chuan-bin GUO
;
Min-xian HUANG
;
Da-quan MA
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Carcinoma, Squamous Cell; pathology; physiopathology; surgery; Female; Humans; Male; Middle Aged; Mouth Neoplasms; pathology; physiopathology; surgery; Neck Dissection; methods; Shoulder; physiopathology
- From:Chinese Journal of Stomatology 2006;41(5):287-290
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo compare the impact of various types of neck dissection on postoperative shoulder function.
METHODSThe shoulder functions of 66 patients with oral squamous cell carcinoma (OSCC) and cN0 necks who underwent various types of neck dissection were evaluated by Constant's shoulder function test and neck dissection impairment index at least 12 months after surgery.
RESULTSThe patients with accessory spinal nerve reserved had better shoulder function than those with accessory spinal nerve resected. In the group with accessory spinal nerve reserved, the patients receiving selective neck dissection (SND) showed better shoulder function than those with modified radical neck dissection (MRND). The shoulder dysfunction and pain arising from SND were minor in patients with selective neck dissection.
CONCLUSIONSThe shoulder function after SND was superior to those after RND and MRND.
