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Related Experiment Videos

Pain in the neck after neck dissection.

Y P Talmi1, Z Horowitz, M R Pfeffer

  • 1Department of Otolaryngology-Head and Neck Surgery, Chaim Sheba Medical Center, Tel Hashomer, Israel.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|August 30, 2000
PubMed
Summary

Chronic operative site pain after neck dissection is uncommon, though shoulder pain persists. Modified neck dissections are generally painless procedures, unlike radical dissections.

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Pain Management

Background:

  • Neck dissection often leads to shoulder dysfunction and pain.
  • Limited research exists on pain localized to the operative site post-neck dissection.
  • This study investigates operative site pain following neck dissection.

Purpose of the Study:

  • To evaluate the incidence and characteristics of operative site pain after neck dissection.
  • To differentiate pain patterns between radical and modified neck dissections.
  • To assess long-term pain outcomes in patients undergoing neck dissection.

Main Methods:

  • A combined prospective and retrospective study involving 88 disease-free patients.
  • Patients were categorized into three groups based on follow-up duration: >2 years, 6-24 months, and prospective (1-8 months).

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  • Pain assessment utilized body maps and visual analog scales.

    • Main Results:

    • No patients followed for over 2 years reported operative site pain.
    • Four of 27 patients (6-24 months follow-up) reported pain with a mean VAS of 3.7.
    • Seventy percent of prospective patients experienced acute pain, with only one reporting persistent pain beyond 2 months. Shoulder pain was common, consistent with literature.

    Conclusions:

    • Chronic operative site pain is rare following radical neck dissection.
    • Shoulder pain is a common sequela of radical neck dissection.
    • Modified neck dissection procedures are typically associated with minimal to no pain.