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

Objective comparison of physical dysfunction after neck dissection.

S Sobol, C Jensen, W Sawyer

    American Journal of Surgery
    |October 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    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

    Electronic Integrated Management of Childhood Illness (eIMCI): a randomized controlled trial to evaluate an electronic clinical decision-making support system for management of sick children in primary health care facilities in South Africa.

    BMC health services research·2024
    Same author

    Patterns of disease on admission to children's wards and changes during a COVID-19 outbreak in KwaZulu-Natal Province, South Africa.

    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2022
    Same author

    Considerations for understanding protein measurements: Identification of formation, degradation and more pathological relevant epitopes.

    Clinical biochemistry·2021
    Same author

    Child health services during a COVID-19 outbreak in KwaZulu-Natal Province, South Africa.

    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2021
    Same author

    Child health services during a COVID-19 outbreak in KwaZulu-Natal Province, South Africa.

    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2020
    Same author

    Danish translation and validation of the Self-reported foot and ankle score (SEFAS) in patients with ankle related fractures.

    Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons·2020

    Preserving the spinal accessory nerve during neck dissection significantly improves shoulder function and electromyogram results. Supraomohyoid and modified neck dissections offer better outcomes than radical neck dissection for shoulder function.

    Area of Science:

    • Head and Neck Surgery
    • Oncology
    • Neurosurgery

    Background:

    • Neck dissection is a critical surgical procedure for head and neck cancers.
    • Shoulder dysfunction is a common complication following neck dissection, impacting patient quality of life.
    • The spinal accessory nerve (SAN) is vulnerable during neck dissection, and its injury can lead to significant morbidity.

    Purpose of the Study:

    • To prospectively compare postoperative shoulder function and electromyographic (EMG) findings across different types of neck dissections.
    • To evaluate the impact of spinal accessory nerve preservation on shoulder function outcomes.
    • To correlate objective physical and EMG parameters with patient-reported disability.

    Main Methods:

    • Prospective study of 35 patients undergoing 44 neck dissections (radical, modified, supraomohyoid).

    Related Experiment Videos

  • Assessment of shoulder function and EMG of shoulder muscles at 16 weeks post-surgery.
  • Re-evaluation of selected patients at 1 year to assess long-term functional recovery.
  • Correlational analysis between physical parameters, EMG findings, and patient-perceived disability.

    • Main Results:

    • Radical neck dissection resulted in the greatest reduction in shoulder movement and abnormal EMG.
    • Modified neck dissection with SAN preservation showed less shoulder dysfunction than radical dissection, with significantly better EMG findings.
    • Supraomohyoid neck dissection with minimal SAN dissection led to minimal shoulder dysfunction and generally normal EMG at 16 weeks.
    • Both modified and supraomohyoid groups demonstrated functional improvement at 1-year follow-up.
    • Objective physical and EMG findings correlated well, but patient perception of disability did not correlate with these objective measures.

    Conclusions:

    • Neck dissection techniques that preserve the spinal accessory nerve offer significant benefits for postoperative shoulder function.
    • Modified and supraomohyoid neck dissections are associated with better shoulder function and nerve integrity compared to radical neck dissection.
    • Spinal accessory nerve preservation should be prioritized in oncologically appropriate cases to minimize shoulder morbidity and improve patient outcomes.