BACKGROUND: Shoulder function can be negatively affected during treatment of upper aerodigestive tract carcinoma. The purpose of this study was to investigate the impact of selective neck dissection alone or in combination with radiotherapy and/or chemotherapy. METHODS: We conducted an observational study in adults who underwent selective neck dissection for the treatment of upper aerodigestive tract cancer who were >6 months from completion of their therapy. Recurrent disease and use of flap reconstruction were part of the exclusion criteria. A modified Constant's score was used to evaluate shoulder function. RESULTS: Thirty-four patients (42 selective neck dissections) met the inclusion criterion. Operated shoulder function was significantly (p < .001) decreased as compared to the nonoperated shoulder. There was no statistical difference in the total Constant's score, in the subjective or objective scores among selective neck dissection only, in the selective neck dissection plus radiation therapy, or in the selective neck dissection plus chemoradiation therapy. CONCLUSION: Selective neck dissection can have a negative effect on shoulder function despite spinal accessory nerve preservation. Adjuvant therapy does not contribute additional detriment to shoulder function.
BACKGROUND: Shoulder function can be negatively affected during treatment of upper aerodigestive tract carcinoma. The purpose of this study was to investigate the impact of selective neck dissection alone or in combination with radiotherapy and/or chemotherapy. METHODS: We conducted an observational study in adults who underwent selective neck dissection for the treatment of upper aerodigestive tract cancer who were >6 months from completion of their therapy. Recurrent disease and use of flap reconstruction were part of the exclusion criteria. A modified Constant's score was used to evaluate shoulder function. RESULTS: Thirty-four patients (42 selective neck dissections) met the inclusion criterion. Operated shoulder function was significantly (p < .001) decreased as compared to the nonoperated shoulder. There was no statistical difference in the total Constant's score, in the subjective or objective scores among selective neck dissection only, in the selective neck dissection plus radiation therapy, or in the selective neck dissection plus chemoradiation therapy. CONCLUSION: Selective neck dissection can have a negative effect on shoulder function despite spinal accessory nerve preservation. Adjuvant therapy does not contribute additional detriment to shoulder function.
Authors: Margaret L McNeely; Matthew B Parliament; Hadi Seikaly; Naresh Jha; David J Magee; Mark J Haykowsky; Kerry S Courneya Journal: Physiother Can Date: 2015 Impact factor: 1.037
Authors: Thomas J Galloway; Qiang Ed Zhang; Phuc Felix Nguyen-Tan; David I Rosenthal; Denis Soulieres; André Fortin; Craig L Silverman; Megan E Daly; John A Ridge; J Alexander Hammond; Quynh-Thu Le Journal: Int J Radiat Oncol Biol Phys Date: 2016-05-28 Impact factor: 7.038
Authors: Sarah M Eickmeyer; Christine K Walczak; Katherine B Myers; D Richard Lindstrom; Peter Layde; Bruce H Campbell Journal: PM R Date: 2014-05-28 Impact factor: 2.298
Authors: Justin Wray; Robert J Amdur; Christopher G Morris; John Werning; William M Mendenhall Journal: Radiat Oncol Date: 2015-09-21 Impact factor: 3.481
Authors: Sara E McEwen; Aileen M Davis; Jennifer M Jones; Rosemary Martino; Ian Poon; Ana Maria Rodriguez; Jolie Ringash Journal: Implement Sci Date: 2015-01-09 Impact factor: 7.327