NECK TREATMENT AND SHOULDER MORBIDITY: STILL A CHALLENGE

被引:94
作者
Bradley, Patrick J. [2 ]
Ferlito, Alfio [1 ]
Silver, Carl E. [3 ,4 ]
Takes, Robert P. [5 ]
Woolgar, Julia A. [6 ,7 ]
Strojan, Primoz [8 ]
Suarez, Carlos [9 ,10 ]
Coskun, Hakan
Zbaeren, Peter [11 ,12 ]
Rinaldo, Alessandra [1 ]
机构
[1] Univ Udine, Azienda Osped Univ, ENT Clin, Dept Surg Sci, I-33100 Udine, Italy
[2] Univ Nottingham Hosp, Queens Med Ctr, Dept Otolaryngol Head & Neck Surg, Nottingham NG7 2UH, England
[3] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Surg, Bronx, NY 10467 USA
[4] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Otolaryngol Head & Neck Surg, Bronx, NY 10467 USA
[5] Radboud Univ Nijmegen, Med Ctr, Dept Otolaryngol Head & Neck Surg, NL-6525 ED Nijmegen, Netherlands
[6] Univ Liverpool, Sch Dent Sci, Liverpool L69 3BX, Merseyside, England
[7] Univ Liverpool, Dent Hosp, Liverpool L69 3BX, Merseyside, England
[8] Inst Oncol, Dept Radiat Oncol, Ljubljana, Slovenia
[9] Hosp Univ Cent Asturias, Dept Otolaryngol, Oviedo, Spain
[10] Inst Univ Oncol Principado Asturias, Oviedo, Spain
[11] Uludag Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Bursa, Turkey
[12] Univ Hosp Bern, Dept Otorhinolaryngol Head & Neck Surg, CH-3010 Bern, Switzerland
来源
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2011年 / 33卷 / 07期
关键词
shoulder morbidity; neck dissection; spinal accessory nerve; quality of life; physical therapy; rehabilitation; SPINAL ACCESSORY NERVE; QUALITY-OF-LIFE; LARYNGEAL SQUAMOUS CARCINOMA; SUBLEVEL IIB; TRAPEZIUS MUSCLE; SUPPORT PRESERVATION; UPPER EXTREMITY; LYMPH-NODE; LEVEL-IIB; DISSECTION;
D O I
10.1002/hed.21495
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Shoulder complaints and functional impairment are common sequelae of neck dissection. This is often attributed to injury of the spinal accessory nerve by dissection or direct trauma. Nevertheless, shoulder morbidity may also occur in cases in which the spinal accessory nerve has been preserved. In this article, the physiology and patho-physiology of the shoulder are discussed, followed by a consideration of the impact of neck dissection on shoulder complaints, functional impairment, and quality of life. Finally, rehabilitation will be considered. (C) 2010 Wiley Periodicals, Inc. Head Neck 33: 1060-1067, 2011
引用
收藏
页码:1060 / 1067
页数:8
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