The 11th Nerve Syndrome in Functional Neck Dissection

Salerno, Grazia Gabriella; Cavaliere, Matteo; Foglia, Alessandra; Pellicoro, Dora Parente; Mottola, Giampiero; Nardone, Massimiliano; Galli, V

doi:10.1097/00005537-200207000-00029

Cited by 75 publications

(63 citation statements)

References 15 publications

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“…22,23 In the standard postoperative care, range of motion of the shoulder and pain must be evaluated, and, when indicated, a specific rehabilitation program may be prescribed. 24 The significantly worse outcome for limitations because of physical problems in the patient group compared with the control group shows that physical rehabilitation may be important; but the reduced social functioning and importance of depression show that, in addition to training of physical skills, psychosocial rehabilitation should also be addressed. 25 Notable was the significantly better outcome in the pain domain for the patients compared with the control group.…”

Section: Discussionmentioning

confidence: 97%

Shoulder and neck morbidity in quality of life after surgery for head and neck cancer

Wilgen

Dijkstra

Laan³

et al. 2004

Head & Neck

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Section: Discussionmentioning

confidence: 97%

Shoulder and neck morbidity in quality of life after surgery for head and neck cancer

Wilgen

Dijkstra

Laan³

et al. 2004

Head & Neck

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“…electrophysiological evaluations have shown that, despite the nerve's anatomical integrity, the risk is even greater whenever the neck's posterior triangle is involved (level V) 1,[15][16][17] . The muscles' denervation potentials become characteristic after two to three weeks of the lesion, first on the proximal muscles, later on the distal ones.…”

Section: Discussionmentioning

confidence: 99%

Spinal accessory nerve neuropathy following neck dissection

Lima¹,

Amar²,

Lehn³

2011

Braz. j. otorhinolaryngol. (Impr.)

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Tt he most common complication of neck dissection is shoulder dysfunction due to manipulation of spinal accessory nerve, resulting in trapezius muscle atrophy mainly in procedures involving the posterior neck triangle.Aim: This study used electromyography to evaluate the injury to the spinal accessory nerve following neck dissection.Materials and methods: prospective case series of 51 patients submitted to 60 neck dissections followed by physical therapy evaluation of shoulder dysfunction. nerve integrity was evaluated before and after the surgery by means of surface eMG registering the electric activity of the trapezius muscle during voluntary contraction. The patients were grouped according to the type of neck dissection, presence of shoulder pain, impairment during abduction movement and hypotrophy/ atrophy of the trapezius muscle.Results: Action potential had median values of 54.3 microV before surgery and 11.6 microV after it (p<0.001). There was a mean decrease of 70% comparing to preoperative values. The median was 12.5 microV after dissection including level iib, and 8.9 microV after dissection including levels iib and V (p<0.002). Conclusion:Surface eMG is a sensitive and painless method for spinal accessory nerve dysfunction evaluation. The results suggest the usefulness of the trapezius muscle electromyography to confirm diagnosis and early physical therapy intervention in neuropathies of the spinal accessory nerve. Braz J Otorhinolaryngol. 2011;77(2):259-62. ORIgInAL ARTIcLE BJORL

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“…There was also an improvement in overall QOL as assessed by the SF-36 health survey [ 13 ] . A signifi cant improvement in QOL was also seen in laryngectomy patients who had undergone a contemporaneous neck dissection when receiving a rehabilitation protocol of passive and active shoulder exercises [ 46 ] .…”

Section: Laryngectomy Patientsmentioning

confidence: 91%

Physical Activity and Quality of Life in Head and Neck Cancer Survivors: A Literature Review

Sammut¹,

Ward

Patel

2014

Int J Sports Med

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The head and neck region is highly complex in terms of its anatomy and physiology. Head and neck cancer (HNC) and the treatment thereof can significantly affect both the structure and function of this area, especially in terms of swallowing, breathing and speaking. This may lead to a significant reduction in quality of life (QOL), and present challenges to both patients and their caregivers. There is increasing evidence that physical activity (PA) after a diagnosis of cancer is associated with improved overall mortality. This is well established in colon, prostate, ovarian and breast cancer. 2 recent metanalyses have determined that exercise interventions following cancer diagnosis are associated with a 41% reduction in risk of all-cause mortality, and an improvement in QOL. PA has also been found to be valuable in counteracting symptoms that reduce QOL, including depression, fatigue, worry and anxiety. Given that HNC patients face their own unique set of challenges, and may have different needs than other cancer patients, we have reviewed the available literature on the interactions between exercise and QOL in HNC patients.

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The 11th Nerve Syndrome in Functional Neck Dissection

Cited by 75 publications

References 15 publications

Shoulder and neck morbidity in quality of life after surgery for head and neck cancer

Shoulder and neck morbidity in quality of life after surgery for head and neck cancer

Spinal accessory nerve neuropathy following neck dissection

Physical Activity and Quality of Life in Head and Neck Cancer Survivors: A Literature Review

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