Complaints of neuropathic pain, noxious cervical plexus neuropathy and neck tightness are reported by patients who undergo neck dissection: an institutional study and narrative review

Ramphul, Avisham; Hoffman, GR; Islam, Samia; McGarvey, AC; Powell, AD

doi:10.1016/j.bjoms.2020.08.037

Cited by 2 publications

(3 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…SCP iatrogenic injury can result from dissection and surgical exploration of the neck region, potentially leading to post-surgical chronic pain. Neuropathic symptoms are most often experienced in the distribution of dermatomes corresponding to the cervical plexus superficial nerves [ 10 ]. The prevalence of this type of pain after various surgeries in the cervical region is quite variable and depends on the performed procedure [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Does Interventional Pain Management Play a Role in the Treatment of Cervical Post-Surgical Neuropathic Pain?

Paiva,

Ferreira,

Serrano

2023

Cureus

View full text Add to dashboard Cite

Post-surgical neuropathic pain is still an underdiagnosed medical condition with persistent pain occurring in 10-50% of patients submitted to surgery. We present a case of a 52-year-old patient with persistent paracervical, supraclavicular, and upper chest neuropathic pain after the excision of a massive deep right cervical tumor, concluded to be an accessory spinal nerve schwannoma. A thorough physical and ultrasound examination helped conclude injury of the superficial cervical plexus. Therefore, an ultrasound-guided hydrodissection of several neuromas was performed at the level of the superficial cervical plexus. After three procedures, pain and quality of life scores improved, with a reduction of anxiety and depression symptoms. Due to the positive response, the patient was referred for a peripheral nerve stimulator implantation, allowing self-control of pain, in a home setting.

show abstract

Section: Discussionmentioning

confidence: 99%

Does Interventional Pain Management Play a Role in the Treatment of Cervical Post-Surgical Neuropathic Pain?

Paiva,

Ferreira,

Serrano

2023

Cureus

View full text Add to dashboard Cite

show abstract

“…[97][98][99] Procedures such as radical neck dissection also increase morbidity with neuropathic presentations. 37,97,100 However, we did not have detailed variables to assess the influence of these factors.…”

Section: Discussionmentioning

confidence: 99%

“…Surgery can also cause direct nerve injury, such as in mandibular resection or from subsequent compressive fibrosis or ischemic nerve damage 97–99 . Procedures such as radical neck dissection also increase morbidity with neuropathic presentations 37,97,100 . However, we did not have detailed variables to assess the influence of these factors.…”

Section: Discussionmentioning

confidence: 99%

Neuropathic pain prevalence and risk factors in head and neck cancer survivors

et al. 2022

View full text Add to dashboard Cite

Background Neuropathic pain (NP) is a debilitating symptom among head and neck cancer (HNC) survivors although few large studies report its prevalence and associated risk factors. Methods A cross‐sectional survey assessing demographic, behavioral, and clinical risk factors for NP. NP was assessed using the Self‐administered Leeds Assessment of Neuropathic Symptoms and Signs pain scale (S‐LANSS). Results Forty‐five percent (227/505) reported having pain including 13.7% (69/505) who were positive for S‐LANSS. Reported pain sites were in the regions of the head and oral cavity (46.2%) and neck and throat (41.5%). Despite a higher self‐reported use of analgesic medication (NP+ = 41.2%; NP− = 27.4%; p = 0.020) and alternative pain therapies (NP+ = 19.1%; NP− = 8.4%; p = 0.009), severe pain was more prevalent among those with NP (N+ = 23.2%; NP− = 13.3%; p = 0.004). Adjusted for opioid medications, ethnicity/race, age, surgery, depression, and comorbidities were risk factors for NP. Conclusion NP remains prevalent in HNC survivors highlighting the importance of routine pain surveillance.

show abstract

Complaints of neuropathic pain, noxious cervical plexus neuropathy and neck tightness are reported by patients who undergo neck dissection: an institutional study and narrative review

Cited by 2 publications

References 25 publications

Does Interventional Pain Management Play a Role in the Treatment of Cervical Post-Surgical Neuropathic Pain?

Does Interventional Pain Management Play a Role in the Treatment of Cervical Post-Surgical Neuropathic Pain?

Neuropathic pain prevalence and risk factors in head and neck cancer survivors

Contact Info

Product

Resources

About