BACKGROUND: The purpose of this article was to provide a review of the literature on shoulder disability after neck dissection. METHODS: A literature review was performed using Ovid Medline and Embase databases. A total of 306 abstracts and 78 full-text articles were reviewed. Forty-two articles were eligible for inclusion. RESULTS: Patients undergoing nerve-sacrifice neck dissections have greater disability and lower quality of life scores than those undergoing neck dissections with the least manipulation (ie, selective neck dissections). Shoulder impairments can still occur in patients undergoing selective neck dissections. Disability typically improves over time in patients undergoing nerve-sparing neck dissections. CONCLUSION: There was significant variability in the literature in terms of the prevalence and recovery of shoulder morbidity after neck dissection. This variability may not just be related to surgical technique or rehabilitation, but also to study design, definitions, and the variability in disability questionnaires used.
BACKGROUND: The purpose of this article was to provide a review of the literature on shoulder disability after neck dissection. METHODS: A literature review was performed using Ovid Medline and Embase databases. A total of 306 abstracts and 78 full-text articles were reviewed. Forty-two articles were eligible for inclusion. RESULTS:Patients undergoing nerve-sacrifice neck dissections have greater disability and lower quality of life scores than those undergoing neck dissections with the least manipulation (ie, selective neck dissections). Shoulder impairments can still occur in patients undergoing selective neck dissections. Disability typically improves over time in patients undergoing nerve-sparing neck dissections. CONCLUSION: There was significant variability in the literature in terms of the prevalence and recovery of shoulder morbidity after neck dissection. This variability may not just be related to surgical technique or rehabilitation, but also to study design, definitions, and the variability in disability questionnaires used.
Authors: Hsiao-Lan Wang; Juanita F Keck; Michael T Weaver; Alan Mikesky; Karen Bunnell; Janice M Buelow; Susan M Rawl Journal: Rehabil Res Pract Date: 2013-12-25
Authors: Jason J Xu; Eugene Yu; Caitlin McMullen; Jesse Pasternak; Jim Brierley; Richard Tsang; Han Zhang; Antoine Eskander; Lorne Rotstein; Anna M Sawka; Ralph Gilbert; Jonathan Irish; Patrick Gullane; Dale Brown; John R de Almeida; David P Goldstein Journal: J Otolaryngol Head Neck Surg Date: 2017-05-31