| 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. | |
| | |
MedLine Citation:
|
PMID: 20101430 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Ken-ichi Nibu; Yasuhiro Ebihara; Mitsuru Ebihara; Kazuyoshi Kawabata; Tetsuro Onitsuka; Takashi Fujii; Masahisa Saikawa |
Publication Detail:
|
Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't Date: 2010-01-26 |
Journal Detail:
|
Title: International journal of clinical oncology / Japan Society of Clinical Oncology Volume: 15 ISSN: 1437-7772 ISO Abbreviation: Int. J. Clin. Oncol. Publication Date: 2010 Feb |
Date Detail:
|
Created Date: 2010-02-10 Completed Date: 2010-05-24 Revised Date: 2011-09-13 |
Medline Journal Info:
|
Nlm Unique ID: 9616295 Medline TA: Int J Clin Oncol Country: Japan |
Other Details:
|
Languages: eng Pagination: 33-8 Citation Subset: IM |
Affiliation:
|
Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kobe University, Chuo-ku, Kobe, Japan. nibu@med.kobe-u.ac.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Accessory Nerve
/
surgery Adult Aged Aged, 80 and over Head and Neck Neoplasms / pathology, psychology, rehabilitation, surgery* Humans Longitudinal Studies Lymphatic Metastasis* Middle Aged Neck Dissection / standards* Neck Muscles / pathology Pain Measurement Quality of Life* Questionnaires Range of Motion, Articular Shoulder / physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Successful treatment of refractory adult still's disease and membranous glomerulonephritis with infl...
Next Document: Soluble Fas: a useful marker of inflammation and cardiovascular diseases in uremic patients.