Scoping review of the literature on shoulder impairments and disability after neck dissection
Article first published online: 31 MAR 2013
Copyright © 2013 Wiley Periodicals, Inc.
Head & Neck
Volume 36, Issue 2, pages 299–308, February 2014
How to Cite
Goldstein, D. P., Ringash, J., Bissada, E., Jaquet, Y., Irish, J., Chepeha, D. and Davis, A. M. (2014), Scoping review of the literature on shoulder impairments and disability after neck dissection. Head Neck, 36: 299–308. doi: 10.1002/hed.23243
- Issue published online: 10 JAN 2014
- Article first published online: 31 MAR 2013
- Manuscript Accepted: 6 DEC 2012
- This work was supported by a Cancer Care Ontario, Ontario Cancer Research Network, and Canadian Institutes for Health Research grant
- shoulder disability;
- neck dissection;
- literature review;
- head and neck cancer
The purpose of this article was to provide a review of the literature on shoulder disability after neck dissection.
A 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.
Patients 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.
There 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. © 2013 Wiley Periodicals, Inc. Head Neck 36: 299–308, 2014