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Functional implications of radical neck dissection and the impact on the quality of life for patients with head and neck neoplasia.

Popescu B, Berteşteanu SV, Grigore R, Scăunaşu R, Popescu CR - J Med Life (2012)

Bottom Line: The surgical oncology procedure included the resection of the internal jugular vein, the sternocleidomastoid muscle, and the submandibular gland and the spinal accessory nerve.Deformities and impairment in the functionality of different regions of the neck and scapular regions have great implications on the quality of life of the patients who undergo such a procedure.Modifications to the radical neck dissection were made in the attempt to maintain the efficacy of the surgical oncology therapy.

View Article: PubMed Central - PubMed

Affiliation: E.N.T. Department, Coltea Clinical Hospital, Bucharest, Romania. dr.bpopescu@gmail.com

ABSTRACT
Radical neck dissection is a concept that was presented in 1906 by GW Crile and suffered constant improvement ever since. The surgical oncology procedure included the resection of the internal jugular vein, the sternocleidomastoid muscle, and the submandibular gland and the spinal accessory nerve. Deformities and impairment in the functionality of different regions of the neck and scapular regions have great implications on the quality of life of the patients who undergo such a procedure. Modifications to the radical neck dissection were made in the attempt to maintain the efficacy of the surgical oncology therapy. The authors try to assess the functional implications of radical neck dissection and the impact on the quality of life for patients with head and neck neoplasia.

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Resected spinal accessory nerve. Modified neck dissection
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Figure 1: Resected spinal accessory nerve. Modified neck dissection

Mentions: When sacrificing the spinal accessory nerve the patient will experience impairment in the movement of the shoulder with the fixation of the shoulder and with or without pain sensations in the territory of the cranial nerve, which reside in the denervation of the trapezius muscle (Fig. 1). When performing type I to III modified radical neck dissections, the patient will not experience any impairment in moving the arm and shoulder, which, in terms of function and social reintegration will give the patient a start point [6]. Pain resulting from the resection of the spinal accessory nerve is subject to the administration of long-term anti-pain drugs. This is a positive aspect of the surgical therapy because the patient has a better adherence to the oncological therapy.


Functional implications of radical neck dissection and the impact on the quality of life for patients with head and neck neoplasia.

Popescu B, Berteşteanu SV, Grigore R, Scăunaşu R, Popescu CR - J Med Life (2012)

Resected spinal accessory nerve. Modified neck dissection
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3539843&req=5

Figure 1: Resected spinal accessory nerve. Modified neck dissection
Mentions: When sacrificing the spinal accessory nerve the patient will experience impairment in the movement of the shoulder with the fixation of the shoulder and with or without pain sensations in the territory of the cranial nerve, which reside in the denervation of the trapezius muscle (Fig. 1). When performing type I to III modified radical neck dissections, the patient will not experience any impairment in moving the arm and shoulder, which, in terms of function and social reintegration will give the patient a start point [6]. Pain resulting from the resection of the spinal accessory nerve is subject to the administration of long-term anti-pain drugs. This is a positive aspect of the surgical therapy because the patient has a better adherence to the oncological therapy.

Bottom Line: The surgical oncology procedure included the resection of the internal jugular vein, the sternocleidomastoid muscle, and the submandibular gland and the spinal accessory nerve.Deformities and impairment in the functionality of different regions of the neck and scapular regions have great implications on the quality of life of the patients who undergo such a procedure.Modifications to the radical neck dissection were made in the attempt to maintain the efficacy of the surgical oncology therapy.

View Article: PubMed Central - PubMed

Affiliation: E.N.T. Department, Coltea Clinical Hospital, Bucharest, Romania. dr.bpopescu@gmail.com

ABSTRACT
Radical neck dissection is a concept that was presented in 1906 by GW Crile and suffered constant improvement ever since. The surgical oncology procedure included the resection of the internal jugular vein, the sternocleidomastoid muscle, and the submandibular gland and the spinal accessory nerve. Deformities and impairment in the functionality of different regions of the neck and scapular regions have great implications on the quality of life of the patients who undergo such a procedure. Modifications to the radical neck dissection were made in the attempt to maintain the efficacy of the surgical oncology therapy. The authors try to assess the functional implications of radical neck dissection and the impact on the quality of life for patients with head and neck neoplasia.

Show MeSH
Related in: MedlinePlus