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Related Experiment Videos

Neurological complications following functional neck dissection.

M P Prim1, J I De Diego, J M Verdaguer

  • 1Department of Otorhinolaryngology, La Paz Hospital of the Autonomous University, Madrid, Spain. jidediegompprim@eresmas.net

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|December 29, 2005
PubMed
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Functional neck dissection (FND) has a low incidence of neurological complications, including nerve paralysis. Clinical factors did not predict these rare postoperative neural issues.

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Oncology

Background:

  • Functional neck dissection (FND) is a surgical procedure for head and neck cancers.
  • Assessing neurological complications post-FND is crucial for patient outcomes.

Purpose of the Study:

  • To determine the incidence of neurological complications after FND.
  • To identify factors associated with neurological sequelae following FND.

Main Methods:

  • Retrospective study of 442 epidermoid cancer patients operated between 1984-2002.
  • Evaluation of clinical parameters, neurological sequelae, and other complications.
  • Calculation of neural damage incidence based on nerves at risk (n=714).

Main Results:

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  • Low incidence of neurological sequelae: 11th nerve paralysis (1.68%), 7th cranial nerve branch lesion (1.26%), Bernard-Horner's syndrome (0.56%), hypoglossal nerve paralysis (0.42%).
  • No significant association found between neurological complications and clinical parameters (P >0.05).
  • No correlation identified between neurological and non-neurological complications.

    • Conclusions:

    • Neurological sequelae following FND occur infrequently.
    • Clinical parameters and non-neurological complications do not predict postoperative neurological issues after FND.