The 11th Nerve Syndrome in Functional Neck Dissection

Objectives Assessment of the incidence of shoulder joint disability and evaluation of the role of a personal postoperative physical rehabilitative protocol therapy in reducing pain and shoulder dysfunction and improving the quality of life (QOL) of patients who have undergone functional neck dissect...

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Bibliographic Details
Published in:The Laryngoscope 2002-07, Vol.112 (7), p.1299-1307
Main Authors: Salerno, Grazia, Cavaliere, Matteo, Foglia, Alessandra, Pellicoro, Dora Parente, Mottola, Giampiero, Nardone, Massimiliano, Galli, Vieri
Format: Article
Language:English
Subjects:
accessory nerve
Accessory Nerve Diseases - epidemiology
Accessory Nerve Diseases - etiology
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Incidence
Joint Diseases - epidemiology
Joint Diseases - etiology
Laryngectomy
Male
Medical sciences
Middle Aged
neck dissection
Neck Dissection - adverse effects
Nervous system (semeiology, syndromes)
Neurology
physical therapy
Quality of Life
shoulder function
Shoulder Joint
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Syndrome
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Summary:Objectives Assessment of the incidence of shoulder joint disability and evaluation of the role of a personal postoperative physical rehabilitative protocol therapy in reducing pain and shoulder dysfunction and improving the quality of life (QOL) of patients who have undergone functional neck dissection (FND) associated with total laryngectomy. Setting, Design, and Outcome Measures Sixty laryngectomees who had undergone FND were divided into two groups (A and B). Group A received physical therapy after surgery. Clinical evaluation was done according to the Constant modified questionnaire, including physical assessment of passive and active shoulder movement and information regarding patients' QOL. Bilateral quantitative electromyography (Q‐EMG) of scapulohumeral muscles was carried out on all patients. Results were evaluated by Student t test and multivariate analysis to find out which variables were important in predicting pain and return to work. Results Six months after surgery, the patients in group A had better results concerning passive forward elevation (P = 0), shoulder active motility (P = 0), pain (P
ISSN:0023-852X
1531-4995
DOI:10.1097/00005537-200207000-00029