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International Journal of Clinical Oncology

Erschienen in:

01.02.2010 | Review Article

Quality of life after neck dissection: a multicenter longitudinal study by the Japanese Clinical Study Group on Standardization of Treatment for Lymph Node Metastasis of Head and Neck Cancer

verfasst von: Ken-ichi Nibu, Yasuhiro Ebihara, Mitsuru Ebihara, Kazuyoshi Kawabata, Tetsuro Onitsuka, Takashi Fujii, Masahisa Saikawa

Erschienen in: International Journal of Clinical Oncology | Ausgabe 1/2010

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Abstract

Background

We performed a multicenter longitudinal study using our neck dissection questionnaire (NDQ) and arm abduction test (AAT) to assess the impact of rehabilitation and surgical modification on postoperative quality of life (QOL).

Methods

Patients who had undergone neck dissection for the treatment of head and neck cancer answered the NDQ and completed the AAT 1, 3, 6, and 12 months after surgery. All patients enrolled in this study underwent a rehabilitation program designed for neck dissection. The obtained data were statistically analyzed according to the types of neck dissection and compared with the data of patients who had undergone neck dissection but not rehabilitation.

Results

A total of 224 patients were enrolled in this study. Our findings revealed that resection of the sternocleidomastoid muscle (SCM) and spinal accessory nerve (SAN) resulted in shoulder drop. Lowering the dissection level and preservation of the SAN and SCM significantly reduced various sensory symptoms of the neck, such as stiffness, pain, numbness, and constriction, and improved shoulder function. Postoperative rehabilitation had a significant effect on arm abduction ability, particularly when the SCM and SAN were resected.

Conclusions

The study demonstrated that rehabilitation, in addition to modifications to radical neck dissection, contributed to the improvement of postoperative QOL after neck dissection.

Ferlito A, Johnson JT, Rinaldo A et al (2007) European surgeons were the first to perform neck dissection. Laryngoscope 117(5):797–802CrossRefPubMed

Nahum AM, Mullally W, Marmor L (1961) A syndrome resulting from radical neck dissection. Arch Otolaryngol 74:424–428PubMed

Shuller D, Reiches N, Hamaker R (1983) Analysis of disability resulting from treatment including radical neck dissection. Head Neck Surg 6:551–558CrossRef

Bocca E, Pignataro O (1967) A conservative technique in radical neck dissection. Ann Otol Rhinol Laryngol 76:975–987PubMed

Robbins KT, Clayman G, Levine PA et al (2002) Neck dissection classification update: revisions proposed by the American Head and Neck Society and the American Academy of Otolaryngology–Head and Neck Surgery. Arch Otolaryngol Head Neck Surg 128:751–758PubMed

Short SO, Kaplan JN, Laramore GE et al (1984) Shoulder pain and function after neck dissection with or without preservation of the spinal accessory nerve. Am J Surg 148:478–482CrossRefPubMed

Remmler D, Byer R, Scheetz J et al (1986) A prospective study of shoulder disability resulting from radical and modified neck dissections. Head Neck 8:280–286CrossRef

Kuntz AL, Weymuller EA Jr (1999) Impact of neck dissection on quality of life. Laryngoscope 109:1334–1338CrossRefPubMed

Cheng PT, Hao SP, Lin YH et al (2000) Objective comparison of shoulder dysfunction after three neck dissection techniques. Ann Otol Rhinol Laryngol 109:761–766PubMed

10.

Shah S, Har-El G, Rosenfeld RM (2001) Short-term and long-term quality of life after neck dissection. Head Neck 23:954–961CrossRefPubMed

11.

Taylor RJ, Chepeha JC, Teknos TN et al (2002) Development and validation of the neck dissection impairment index. Arch Otolaryngol Head Neck Surg 128:44–49PubMed

12.

von Wilgen CP, Dijkstra PU, Nauta JM et al (2003) Shoulder pain and disability in daily life following supraomohyoid neck dissection: a pilot study. J Craniomaxillofac Surg 31:183–186PubMed

13.

Cappiello J, Piazza C, Giudice M et al (2005) Shoulder disability after different selective neck dissections (levels II–IV versus levels II–V): a comparative study. Laryngoscope 115(2):259–263CrossRefPubMed

14.

Inoue H, Nibu K, Saito M et al (2006) Quality of life after neck dissection. Arch Otolaryngol Head Neck Surg 132(6):662–666CrossRefPubMed

15.

Ferlito A, Rinaldo A, Silver CE et al (2006) Neck dissection: then and now. Auris Nasus Larynx 33(4):365–374CrossRefPubMed

16.

Pettern C, Hillerl AD (1993) The 11th nerve syndrome: accessory nerve palsy or adhesive capsulitis? Arch Head Neck Surg 119:215–220

17.

Sobol S, Jensen C, Sawyer W et al (1985) Objective comparison of physical dysfunction after neck dissection. Am J Surg 150:503–509CrossRefPubMed

Titel: Quality of life after neck dissection: a multicenter longitudinal study by the Japanese Clinical Study Group on Standardization of Treatment for Lymph Node Metastasis of Head and Neck Cancer
verfasst von: Ken-ichi Nibu
Yasuhiro Ebihara
Mitsuru Ebihara
Kazuyoshi Kawabata
Tetsuro Onitsuka
Takashi Fujii
Masahisa Saikawa
Publikationsdatum: 01.02.2010
Verlag: Springer Japan
Erschienen in: International Journal of Clinical Oncology / Ausgabe 1/2010
Print ISSN: 1341-9625
Elektronische ISSN: 1437-7772
DOI: https://doi.org/10.1007/s10147-009-0020-6

Springer Medizin

Quality of life after neck dissection: a multicenter longitudinal study by the Japanese Clinical Study Group on Standardization of Treatment for Lymph Node Metastasis of Head and Neck Cancer