PHRENIC-NERVE PARALYSIS FOLLOWING NECK DISSECTION

被引:30
作者
DEJONG, AA [1 ]
MANNI, JJ [1 ]
机构
[1] CATHOLIC UNIV NIJMEGEN,DEPT OTORHINOLARYNGOL,PHILIPS VAN LEYDENLAAN 15,6500 HB NIJMEGEN,NETHERLANDS
关键词
PHRENIC NERVE PARALYSIS; NECK DISSECTION;
D O I
10.1007/BF00178921
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
One of the complications of neck dissection to control regional metastatic disease in cancer of the head and neck is phrenic nerve paralysis. The resulting elevation of the ipsilateral diaphragm can be diagnosed on a postoperative chest X-ray and confirmed by fluoroscopy. Symptoms can be respiratory, cardiac or gastrointestinal. In a retrospective study, unilateral phrenic nerve paralysis was observed in 14 (8%) of 176 consecutive neck dissections. None of the patients with post-operative pherenic nerve paralysis displayed severe symptoms, although a significantly higher number sustained atelectasis with or without pulmonary infiltrates to complicate the postoperative course.
引用
收藏
页码:132 / 134
页数:3
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