Development of musculoskeletal complaints and functional disabilities in patients with laryngeal carcinoma after neck dissection sparing spinal accessory nerve

Oz, Bengi; Memiş, Asuman

doi:10.1111/j.1365-2354.2008.00950.x

Cited by 9 publications

(11 citation statements)

References 15 publications

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“…Although associated with minimal shoulder disability, selective neck dissection is not without its morbidity. Oz and Memis compared shoulder and neck pain, along with ROM, between 20 patients who underwent a cranial nerve XI‐sparing neck dissection and 20 healthy age‐matched subjects. Two pain scales were used for assessment; the Northwick Park Pain Questionnaire and the Neck Pain and Disability Scale.…”

Section: Resultsmentioning

confidence: 99%

“…On average, patients were 16 months after their neck dissection. Although not severe in magnitude, shoulder pain scores were higher and ROM testing (goniometric evaluation) lower in the surgical group than in the control group . Murer et al evaluated patients undergoing either sentinel node biopsy (with no cranial nerve XI dissection) or elective neck dissection (type not described) with the NDII and Constant Shoulder Score more than 1 year after surgery.…”

Section: Resultsmentioning

confidence: 99%

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Scoping review of the literature on shoulder impairments and disability after neck dissection

et al. 2013

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Scoping review of the literature on shoulder impairments and disability after neck dissection

et al. 2013

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“…Up to one year after surgery, previous studies show patients undergoing nerve sparing surgery have limitations in shoulder flexion and abduction ranging from 140–160 degrees, while those with nerve sacrificing surgery are often limited to less than 140 degrees of flexion or abduction. 7,21,23,24,36 In our study, subjects with nerve sparing surgery have fewer limitations in ROM compared to nerve sacrifice. However, average ROM measurements are slightly lower in our cohort of 5-year survivors than previous studies of 1-year survivors.…”

Section: Discussionmentioning

confidence: 56%

“…17–20 Objective losses of shoulder function observed with nerve sacrificing surgery are still present 1 year after surgery, while reports of improvement in shoulder ROM after nerve sparing surgery have been conflicting. 21–24 Little is known about return of shoulder function and the relationship with QOL in longer-term head and neck cancer survivors.…”

Section: Introductionmentioning

confidence: 99%

Quality of Life, Shoulder Range of Motion, and Spinal Accessory Nerve Status in 5‐Year Survivors of Head and Neck Cancer

Eickmeyer

Walczak

Myers

et al. 2014

PM&R

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Objective To determine the association of neck dissection and radiation treatment for head and neck cancer (HNC) with subsequent shoulder range of motion (ROM) and quality of life (QOL) in 5-year survivors. Design Cross-sectional convenience sample Setting Otolaryngology clinics at tertiary care hospital and Veterans Affairs medical center Patients 5-year, disease-free, HNC survivors Methods Demographic and cancer treatment information was collected, including type of neck dissection (none, spinal accessory “nerve sparing” and “nerve sacrificing”) and radiation. QOL questionnaires were administered, and shoulder ROM was measured. Main Outcome Measurements University of Washington Quality of Life (UWQOL), Functional Assessment of Cancer Therapy Head and Neck (FACT-HN), and Performance Status Scale for Head and Neck (PSS-HN). Shoulder ROM measurements included abduction, adduction, flexion, extension, internal and external rotation. Results One hundred and five survivors completed QOL surveys; 85 survivors underwent additional shoulder ROM evaluations. The nerve sacrifice group exhibited significantly poorer scores for UWQOL measures of disfigurement, level of activity, recreation/entertainment, speech, shoulder disability, and willingness to eat in public, FACT functional well-being, and FACT-HN (p<.05). Shoulder ROM for flexion and abduction was poorest in the nerve sacrifice group (p<.05). Radiation was associated with significantly worse UWQOL swallowing (p<.05), but no other differences were found for QOL or ROM measurements. Decreased QOL scores were associated with decreased shoulder flexion and abduction (p<.05). Survivors with decreased shoulder abduction had significantly (p<.05) worse scores in disfigurement, recreation/entertainment, employment, shoulder disability, and FACT emotional well-being. Conclusions Sparing the spinal accessory nerve during neck dissection is associated with significantly less long-term shoulder disability in 5-year HNC survivors. QOL measures demonstrated the highest level of function in the no dissection group, an intermediate level of functioning with nerve sparing, and poorest function when the nerve is sacrificed. Decreased shoulder flexion and abduction is associated with reduced QOL in long-term HNC survivors.

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“…Treatment for HNC commonly involves surgery, radiotherapy (RT), chemotherapy, or a combination of these. Intraoperative procedures causing stretching, compression or burning (from electrocauterization) of soft and neural tissues can lead to neuropraxia or axonal injury, as can post-operative scarring, haemorrhages and infections [5] potentially impairing motor function in the affected region and surrounding areas with an impact on oral and oropharyngeal functioning [5]. When lymph node metastases are suspected, a neck dissection (ND) may be performed, either selective ND (SND), modified radical (MRND), or radical ND (RND) depending on requirements, in addition to the resection of the primary tumor surgery [6].…”

Section: Introductionmentioning

confidence: 99%

Upper body motor function and swallowing impairments and its association in survivors of head and neck cancer: A cross-sectional study

Ortiz-Comino¹,

Fernández-Lao²,

Speksnijder³

et al. 2020

PLoS ONE

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Background Upper body motor function and swallowing may be affected after curative treatment for head and neck cancer. The aims of this study are to compare maximum mouth opening (MMO), temporomandibular dysfunction (TMD), cervical and shoulder active range of motion (AROM) and strength, and swallowing difficulty between survivors of head and neck cancer (sHNC) and healthy matched controls (HMC) and to examine the correlations between these outcomes in sHNC. Methods Thirty-two sHNC and 32 HMC participated on the study. MMO, TMD, cervical and shoulder AROM, cervical and shoulder strength, the SPADI shoulder pain and disability indices, the Eating Assessment Tool (EAT-10) score, swallowing difficulty as determined using a visual analogue scale (VAS), and the location of disturbances in swallowing, were recorded. Results MMO and cervical and shoulder AROM and strength were significantly lower in sHNC, whereas FAI, SPADI score, EAT-10 and VAS were higher. The MMO, TMD, cervical and shoulder AROM, and cervical shoulder strength values showed significant correlations (some direct, others inverse) with one another. Swallowing difficulty was inversely associated with the MMO, cervical AROM and shoulder strength.

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Development of musculoskeletal complaints and functional disabilities in patients with laryngeal carcinoma after neck dissection sparing spinal accessory nerve

Cited by 9 publications

References 15 publications

Scoping review of the literature on shoulder impairments and disability after neck dissection

Scoping review of the literature on shoulder impairments and disability after neck dissection

Quality of Life, Shoulder Range of Motion, and Spinal Accessory Nerve Status in 5‐Year Survivors of Head and Neck Cancer

Upper body motor function and swallowing impairments and its association in survivors of head and neck cancer: A cross-sectional study

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