Shoulder function in patients undergoing selective neck dissection with or without radiation and chemotherapy
Article first published online: 10 NOV 2010
Copyright © 2010 Wiley Periodicals, Inc.
Head & Neck
Volume 33, Issue 5, pages 615–619, May 2011
How to Cite
Watkins, J. P., Williams, G. B., Mascioli, A. A., Wan, J. Y. and Samant, S. (2011), Shoulder function in patients undergoing selective neck dissection with or without radiation and chemotherapy. Head Neck, 33: 615–619. doi: 10.1002/hed.21503
- Issue published online: 11 APR 2011
- Article first published online: 10 NOV 2010
- Manuscript Accepted: 30 APR 2010
- Manuscript Revised: 23 FEB 2010
- Manuscript Received: 7 NOV 2009
- selective neck dissection;
- shoulder dysfunction;
- radiation therapy;
- chemoradiation therapy;
- Constant's score
Shoulder function can be negatively affected during treatment of upper aerodigestive tract carcinoma. The purpose of this study was to investigate the impact of selective neck dissection alone or in combination with radiotherapy and/or chemotherapy.
We conducted an observational study in adults who underwent selective neck dissection for the treatment of upper aerodigestive tract cancer who were >6 months from completion of their therapy. Recurrent disease and use of flap reconstruction were part of the exclusion criteria. A modified Constant's score was used to evaluate shoulder function.
Thirty-four patients (42 selective neck dissections) met the inclusion criterion. Operated shoulder function was significantly (p < .001) decreased as compared to the nonoperated shoulder. There was no statistical difference in the total Constant's score, in the subjective or objective scores among selective neck dissection only, in the selective neck dissection plus radiation therapy, or in the selective neck dissection plus chemoradiation therapy.
Selective neck dissection can have a negative effect on shoulder function despite spinal accessory nerve preservation. Adjuvant therapy does not contribute additional detriment to shoulder function. © 2010 Wiley Periodicals, Inc. Head Neck, 2011