Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

Functional Evaluation of Spinal Accessory Nerve and Shoulder after Neck Dissection

경부청소술 후 어깨 및 척수 부신경의 기능평가

  • Tae Kyung (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Han Jang-Hee (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Park In-Beom (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Jeong Jin-Hyeok (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Lee Hyung-Seok (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Choi Ki-Sub (Department of Rehabilitation Medicine, College of Medicine, Hanyang University)
  • 태경 (한양대학교 의과대학 이비인후과학교실) ;
  • 한장희 (한양대학교 의과대학 이비인후과학교실) ;
  • 박인범 (한양대학교 의과대학 이비인후과학교실) ;
  • 정진혁 (한양대학교 의과대학 이비인후과학교실) ;
  • 이형석 (한양대학교 의과대학 이비인후과학교실) ;
  • 최기섭 (한양대학교 의과대학 재활의학교실)
  • Published : 2004.11.01
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Abstract

Objective: The aim of this study is to evaluate shoulder function and preoperative and postoperative electrophysiological changes related to the spinal accessory nerve with reference to neck dissection technique. Materials and Methods: We evaluated shoulder function by pain, strength and range of motion in a total of 35 neck dissection cases of 29 patients with head and neck cancer or thyroid papillary cancer. Electrophysiologic studies were performed before surgery, after third postoperative weeks and 6 months respectively. The results of each test according to the types of neck dissection were compared. Results: Clinical parameters of shoulder function and electrophysiologic study showed deterioration in early postoperative periods and improvements in late postoperative periods when the spinal accessory nerve was spared and permanent nerve damage was observed in radical neck dissection. There were correlations between the clinical parameters and electrophysiologic studies. Conclusion: The shoulder function after spinal accessory nerve sparing procedure is better than the function after nerve sacrificing procedure.

Keywords

References

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