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Reflex sympathetic dystrophy following neck dissections

M M Kiroğlu1, T Sarpel, P Ozberk

  • 1Department of Otolaryngology, University of Cukurova School of Medicine, Balcali, Turkey.

American Journal of Otolaryngology
|March 1, 1997
PubMed
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Reflex sympathetic dystrophy (RSD) is a newly identified complication following neck dissections in head and neck cancer patients. This study investigated its incidence and potential causes in surgical patients.

Area of Science:

  • Oncology
  • Neurosurgery
  • Pain Management

Background:

  • Reflex sympathetic dystrophy (RSD) is a recognized complication of extremity injury or surgery.
  • RSD has not been previously reported as a complication of neck dissections.
  • Head and neck cancer treatment often involves radical neck dissection.

Observation:

  • This study evaluated 46 patients with head and neck cancer who underwent neck dissection and primary tumor removal.
  • Two patients presented with symptoms consistent with RSD post-operatively.

Findings:

  • The incidence of RSD following neck dissection was observed in 2 out of 46 patients (approximately 4.3%).
  • The presentation of RSD in these patients is likely linked to sympathetic hyperactivity secondary to surgical trauma.

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  • This suggests neck dissection may be an inciting event for RSD.

    • Implications:

    • Neck dissections may lead to the development of Reflex Sympathetic Dystrophy.
    • Clinicians should consider RSD in patients experiencing unusual pain or symptoms after neck dissection.
    • Further research is warranted to understand the pathophysiology and incidence of RSD after neck dissections.