Postoperative morbidity after different types of selective neck dissection

Abstract

SND of different dimensions and neck levels shows low incidence of surgical complications and acceptable functional and aesthetic results.

Prevalence, incidence, and risk factors for shoulder and neck dysfunction after neck dissection: A systematic review

“…The prevalence rates for loss of neck active range of motion reported by Teymoortash and colleagues [29] demonstrated 13% of patients had difficulty rotating towards the non-operated side compared with 3% in the opposite direction. Lateral flexion was affected in an equal percentage of patients (11%) towards and away from the operated side [29].…”

“…The prevalence rates for loss of neck active range of motion reported by Teymoortash and colleagues [29] demonstrated 13% of patients had difficulty rotating towards the non-operated side compared with 3% in the opposite direction. Lateral flexion was affected in an equal percentage of patients (11%) towards and away from the operated side [29]. An earlier study from 1990 [30] described a medium to high limitation on neck rotation range of motion as present in 80% M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT 9 of their cohort of 55 patients.…”

“…Where pain is measured in millimetres, range 0 = no pain to 100 = worst pain imaginable. [23,29,32,82]. Unilateral RND: 92 to 94% [18,20].…”

“…Mixed cohort: 0 to 76% [23,29,31,32,36,52,57,82,90,91]. RND: 10 to 100% [2][3][4][5][17][18][19][20][21].…”

“…Reduced active range of motion of the neck was experienced by 1 to 13% of patients following ND [29,52]. The incidence of neck pain was higher when the cervical plexus was sacrificed (72%) rather than preserved (37%) [28].…”