期刊
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
卷 36, 期 2, 页码 299-308出版社
WILEY
DOI: 10.1002/hed.23243
关键词
shoulder disability; neck dissection; literature review; head and neck cancer
资金
- Cancer Care Ontario
- Ontario Cancer Research Network
- Canadian Institutes for Health Research
BackgroundThe purpose of this article was to provide a review of the literature on shoulder disability after neck dissection. MethodsA literature review was performed using Ovid Medline and Embase databases. A total of 306 abstracts and 78 full-text articles were reviewed. Forty-two articles were eligible for inclusion. ResultsPatients undergoing nerve-sacrifice neck dissections have greater disability and lower quality of life scores than those undergoing neck dissections with the least manipulation (ie, selective neck dissections). Shoulder impairments can still occur in patients undergoing selective neck dissections. Disability typically improves over time in patients undergoing nerve-sparing neck dissections. ConclusionThere was significant variability in the literature in terms of the prevalence and recovery of shoulder morbidity after neck dissection. This variability may not just be related to surgical technique or rehabilitation, but also to study design, definitions, and the variability in disability questionnaires used. (c) 2013 Wiley Periodicals, Inc. Head Neck 36: 299-308, 2014
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