Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Functional assessment using Constant's Shoulder Scale after modified radical and selective neck dissection.

Douglas B Chepeha1, Rodney J Taylor, Judith C Chepeha

  • 1Department of Otolaryngology-Head & Neck Surgery, University of Michigan, 1500 E. Medical Center Drive, Taubman Center 1904, Ann Arbor 48109-0312, USA. dchepeha@umich.edu

Head & Neck
|May 10, 2002
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Immunotherapeutic Approaches to Head and Neck Squamous Cell Carcinoma: Current Clinical Practice and Future Directions.

Head & neck·2026
Same author

Consensus Guidelines for Staging and Surveillance Imaging in Cutaneous Squamous Cell Carcinoma.

JAMA dermatology·2026
Same author

Enhancing Graduate Surgical Education: Recommendations for Development of Common Surgery Education and Training Accreditation Standards.

Annals of surgery open : perspectives of surgical history, education, and clinical approaches·2026
Same author

Strategies and successes of smoking cessation methods in head and neck cancer patients: a systematic review.

Cancer metastasis reviews·2026
Same author

Speech and swallowing outcome measures for oral cancer - what should we be collecting?

Current opinion in otolaryngology & head and neck surgery·2026
Same author

Selection Criteria for De-Escalated Chemoradiotherapy for HPV-Related Oropharyngeal Cancer Based on Prognostic Biomarkers or Early Tumor Response to Therapy: A Narrative Review.

Diagnostics (Basel, Switzerland)·2026

Shoulder dysfunction after neck dissection is influenced by treatment and patient factors. Modified radical neck dissection (MRND) and radiation therapy worsen function, while higher weight improves it.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Rehabilitation Medicine

Background:

  • Constant's Shoulder Scale is a validated tool for assessing shoulder function.
  • Neck dissection is a common surgical procedure for head and neck cancer.
  • Shoulder dysfunction is a significant concern for patients post-neck dissection.

Purpose of the Study:

  • To identify treatment and demographic variables associated with shoulder dysfunction after neck dissection.
  • To evaluate the impact of different neck dissection types on shoulder function.
  • To inform strategies for mitigating shoulder dysfunction in head and neck cancer patients.

Main Methods:

  • A cohort of 54 patients with 64 neck dissections and a minimum 11-month follow-up were assessed.
  • Patients underwent either accessory nerve-sparing modified radical neck dissection (MRND) or selective neck dissection (SND).

Related Experiment Videos

  • Multivariable regression analysis identified predictive variables for shoulder dysfunction, including clinical factors and treatment modalities.

    • Main Results:

    • Patients undergoing MRND experienced significantly worse shoulder function compared to those who had SND (p =.0007).
    • Radiation therapy was associated with negative outcomes for shoulder function.
    • Increased patient weight was positively correlated with better shoulder function (p =.0001).

    Conclusions:

    • Neck dissection type, radiation therapy, and patient weight are critical factors influencing shoulder dysfunction.
    • SND may be a preferable surgical approach to preserve shoulder function compared to MRND.
    • Further research should explore interventions to manage weight and radiation effects on shoulder function post-neck dissection.