File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Shoulder Dysfunction after Selective Neck Dissection in Recurrent Nasopharyngeal Carcinoma

TitleShoulder Dysfunction after Selective Neck Dissection in Recurrent Nasopharyngeal Carcinoma
Authors
KeywordsDASH questionnaire
recurrent nasopharyngeal carcinoma
selective neck dissection
shoulder dysfunction
spinal accessory nerve
Issue Date2015
Citation
Otolaryngology - Head and Neck Surgery (United States), 2015, v. 153, n. 3, p. 379-384 How to Cite?
Abstract© Official journal of the American Academy of Otolaryngology-Head and Neck Surgery Foundation 2015.Objective To investigate the incidence of occult nodal metastasis and severity of shoulder dysfunction after selective neck dissection (SND) for recurrent nasopharyngeal carcinoma (NPC) with N0 status. Study Design Prospective, single-group, pre/post test design. Setting Academic medical center. Subjects and Methods Between 1998 and 2012, 46 patients who had recurrent NPC and N0 status were recruited. They subsequently received salvage nasopharyngectomy and SND, removing ipsilateral level I to III and V lymphatics. The incidence of occult nodal metastasis was noted. All patients underwent standardized physiotherapy after surgery. Postoperative shoulder function was measured using the Disability of Arm, Shoulder, and Hand (DASH) questionnaire. Results The incidence of microscopic nodal metastasis was 15.2%. For first year posttreatment, the mean DASH score was 44.2. With time, there was no improvement in shoulder function despite targeted physiotherapy (P =.09), and the second postoperative year mean DASH score was 46.3. The degree of daily activity affected was rated as moderate to very limited, and 30% of the patients had at least moderate shoulder pain at rest. Conclusion Shoulder dysfunction after SND for recurrent NPC is significant and persistent. Given the low incidence of microscopic nodal metastasis in such circumstances, routine SND is not recommended.
Persistent Identifierhttp://hdl.handle.net/10722/231003
ISSN
2015 Impact Factor: 2.021
2015 SCImago Journal Rankings: 1.176

 

DC FieldValueLanguage
dc.contributor.authorChan, Jimmy Yu Wai-
dc.contributor.authorWong, Stanley Thian Sze-
dc.contributor.authorChan, Richie Chiu Lung-
dc.contributor.authorWei, William Ignace-
dc.date.accessioned2016-09-01T06:07:21Z-
dc.date.available2016-09-01T06:07:21Z-
dc.date.issued2015-
dc.identifier.citationOtolaryngology - Head and Neck Surgery (United States), 2015, v. 153, n. 3, p. 379-384-
dc.identifier.issn0194-5998-
dc.identifier.urihttp://hdl.handle.net/10722/231003-
dc.description.abstract© Official journal of the American Academy of Otolaryngology-Head and Neck Surgery Foundation 2015.Objective To investigate the incidence of occult nodal metastasis and severity of shoulder dysfunction after selective neck dissection (SND) for recurrent nasopharyngeal carcinoma (NPC) with N0 status. Study Design Prospective, single-group, pre/post test design. Setting Academic medical center. Subjects and Methods Between 1998 and 2012, 46 patients who had recurrent NPC and N0 status were recruited. They subsequently received salvage nasopharyngectomy and SND, removing ipsilateral level I to III and V lymphatics. The incidence of occult nodal metastasis was noted. All patients underwent standardized physiotherapy after surgery. Postoperative shoulder function was measured using the Disability of Arm, Shoulder, and Hand (DASH) questionnaire. Results The incidence of microscopic nodal metastasis was 15.2%. For first year posttreatment, the mean DASH score was 44.2. With time, there was no improvement in shoulder function despite targeted physiotherapy (P =.09), and the second postoperative year mean DASH score was 46.3. The degree of daily activity affected was rated as moderate to very limited, and 30% of the patients had at least moderate shoulder pain at rest. Conclusion Shoulder dysfunction after SND for recurrent NPC is significant and persistent. Given the low incidence of microscopic nodal metastasis in such circumstances, routine SND is not recommended.-
dc.languageeng-
dc.relation.ispartofOtolaryngology - Head and Neck Surgery (United States)-
dc.subjectDASH questionnaire-
dc.subjectrecurrent nasopharyngeal carcinoma-
dc.subjectselective neck dissection-
dc.subjectshoulder dysfunction-
dc.subjectspinal accessory nerve-
dc.titleShoulder Dysfunction after Selective Neck Dissection in Recurrent Nasopharyngeal Carcinoma-
dc.typeArticle-
dc.description.natureLink_to_subscribed_fulltext-
dc.identifier.doi10.1177/0194599815590589-
dc.identifier.pmid26138607-
dc.identifier.scopuseid_2-s2.0-84941006138-
dc.identifier.volume153-
dc.identifier.issue3-
dc.identifier.spage379-
dc.identifier.epage384-
dc.identifier.eissn1097-6817-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats