Clinical and electrophysiological evaluation of shoulder functions in spinal accessory nerve-preserving neck dissection

Özgür TARKAN; Ülkü TUNCER; Hacer BOZDEMİR; Tunay SARPEL; Süleyman ÖZDEMİR; Özgür SÜRMELİOĞLU

Makale detayları

Clinical and electrophysiological evaluation of shoulder functions in spinal accessory nerve-preserving neck dissection

Yazarlar:

Özgür TARKAN | Ülkü TUNCER | Hacer BOZDEMİR | Tunay SARPEL | Süleyman ÖZDEMİR | Özgür SÜRMELİOĞLU

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2012 Vol.42 Issue 5, pp.852-860

Belge Tipi:

Makale

Yayın Tarihi:

4/2012

Belge Dili:

Türkçe

Document ID (Org No.):

2000754033

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Anahtar kelimeler:

Özet:

 

The aim  of this study was to evaluate shoulder functions after neck dissection with preservation of the spinal accessory nerve by objective physical examination, electromyographic findings, and subjective patient complaints, and also to investigate the effect of the type of neck dissection.  Materials and methods: The present study included 29 patients on whom unilateral selective or modified radical neck dissection was performed for head and neck cancer and/or metastasis to the neck. Electromyographical findings, range of motion, and pain scores of the shoulder joint were determined for the operated and nonoperated (control) sides.   Results: An electromyographic examination of the trapezius and sternocleidomastoid muscle with superficial and pin electrodes showed a statistically significant difference when comparing the latency and amplitude values of the operated and nonoperated sides (P < 0.05). Flexion, abduction, and external rotation of the shoulder joint were found to be significantly affected on the operated side (P < 0.05). Electrophysiological differences were not found with regards to neck dissection types. Mild or moderate pain was observed at the early stage with a visual pain scale.  Conclusion: Despite spinal accessory nerve preservation during neck dissection, electrophysiological changes and alterations in clinical functions might be seen in all areas of the nerve that innerves the shoulder muscles.

 

The aim  of this study was to evaluate shoulder functions after neck dissection with preservation of the spinal accessory nerve by objective physical examination, electromyographic findings, and subjective patient complaints, and also to investigate the effect of the type of neck dissection.  Materials and methods: The present study included 29 patients on whom unilateral selective or modified radical neck dissection was performed for head and neck cancer and/or metastasis to the neck. Electromyographical findings, range of motion, and pain scores of the shoulder joint were determined for the operated and nonoperated (control) sides.   Results: An electromyographic examination of the trapezius and sternocleidomastoid muscle with superficial and pin electrodes showed a statistically significant difference when comparing the latency and amplitude values of the operated and nonoperated sides (P < 0.05). Flexion, abduction, and external rotation of the shoulder joint were found to be significantly affected on the operated side (P < 0.05). Electrophysiological differences were not found with regards to neck dissection types. Mild or moderate pain was observed at the early stage with a visual pain scale.  Conclusion: Despite spinal accessory nerve preservation during neck dissection, electrophysiological changes and alterations in clinical functions might be seen in all areas of the nerve that innerves the shoulder muscles.

Makale detayları

Clinical and electrophysiological evaluation of shoulder functions in spinal accessory nerve-preserving neck dissection

Yazarlar:

Özgür TARKAN | Ülkü TUNCER | Hacer BOZDEMİR | Tunay SARPEL | Süleyman ÖZDEMİR | Özgür SÜRMELİOĞLU

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2012 Vol.42 Issue 5, pp.852-860

Belge Tipi:

Makale

Yayın Tarihi:

4/2012

Belge Dili:

Türkçe

Document ID (Org No.):

2000754033

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Key words: Selective neck dissection

shoulder dysfunction

spinal accessory nerve

head and neck cancer

range of motion

rehabilitation

Sayı

Makale detayları

Clinical and electrophysiological evaluation of shoulder functions in spinal accessory nerve-preserving neck dissection

Yazarlar: Özgür TARKAN | Ülkü TUNCER | Hacer BOZDEMİR | Tunay SARPEL | Süleyman ÖZDEMİR | Özgür SÜRMELİOĞLU

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2012 Vol.42 Issue 5, pp.852-860

Belge Tipi: Makale

Yayın Tarihi: 4/2012

Belge Dili: Türkçe

Document ID (Org No.): 2000754033

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Key words: Selective neck dissection

shoulder dysfunction

spinal accessory nerve

head and neck cancer

range of motion

rehabilitation

Sayı

Yazarlar:

Özgür TARKAN | Ülkü TUNCER | Hacer BOZDEMİR | Tunay SARPEL | Süleyman ÖZDEMİR | Özgür SÜRMELİOĞLU

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2012 Vol.42 Issue 5, pp.852-860

Belge Tipi:

Makale

Yayın Tarihi:

4/2012

Belge Dili:

Türkçe

Document ID (Org No.):

2000754033

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144