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Phrenic nerve paralysis following neck dissection.

A A de Jong1, J J Manni

  • 1Department of Otorhinolaryngology, University of Nijmegen, The Netherlands.

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
|January 1, 1991
PubMed
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Phrenic nerve paralysis is a complication of head and neck cancer surgery. While 8% of patients experienced this, most had mild symptoms, though atelectasis was more common.

Area of Science:

  • Oncology
  • Thoracic Surgery
  • Neurology

Background:

  • Head and neck cancer surgery, specifically neck dissection, can lead to complications.
  • Phrenic nerve paralysis is a known, albeit infrequent, complication impacting diaphragm function.

Purpose of the Study:

  • To investigate the incidence and clinical impact of phrenic nerve paralysis following neck dissection.
  • To assess the postoperative complications associated with this condition.

Main Methods:

  • Retrospective analysis of 176 consecutive neck dissection cases.
  • Review of postoperative chest X-rays and fluoroscopy for diagnosis of phrenic nerve paralysis.
  • Evaluation of patient symptoms and complications.

Main Results:

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  • Unilateral phrenic nerve paralysis was identified in 14 (8%) of the 176 patients.
  • No patients experienced severe symptoms directly attributable to phrenic nerve paralysis.
  • A significantly higher incidence of atelectasis, with or without pulmonary infiltrates, was observed in patients with phrenic nerve paralysis.

Conclusions:

  • Phrenic nerve paralysis is an uncommon complication of neck dissection.
  • The clinical presentation is often mild, but it is associated with an increased risk of postoperative pulmonary complications like atelectasis.