 |
|
Sensory Changes Associated With Selective Neck Dissection
Scott H. Saffold, MD;
Mark K. Wax, MD;
Anthony Nguyen, MD;
James E. Caro, MD;
Peter E. Andersen, MD;
Edwin C. Everts, MD;
James I. Cohen, MD, PhD
Arch Otolaryngol Head Neck Surg. 2000;126:425-428.
Objective To evaluate sensory changes in the head and neck region associated with selective neck dissection with or without preservation of cervical root branches.
Design Retrospective cohort study.
Setting University tertiary referral hospital and a Veterans Affairs hospital.
Patients Fifty-seven patients who had undergone 84 neck dissections with or without preservation of the sensory cervical root branches 3 or more months before evaluation.
Interventions Questionnaire combined with head and neck sensory examination.
Main Outcome Measures Neck and facial sensory function.
Results Neck dissections with preservation of the cervical rootlets were most likely to be associated with a small area of anesthesia in the upper neck below the body of the mandible and anterior to the mid-body of the mandible (P=.03). Neck dissections without rootlet-preserving technique increased the area of anesthesia to include all other areas of the neck (P=.02).
Conclusions Preservation of the cervical root branches resulted in a small, limited, and uniform area of the neck rendered permanently anesthetic. Conversely, sacrifice of the nerve branches led to a pattern of anesthesia involving the entire neck.
From the Department of Otolaryngology, Head and Neck Surgery, Oregon Health Sciences University, Portland (Drs Saffold, Wax, Andersen, Everts, and Cohen); the Department of Otolaryngology, Head and Neck Surgery, State University of New York at Buffalo (Dr Nguyen); and the Department of Otolaryngology, Portland Veterans Affairs Medical Center, Portland (Dr Caro).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Measuring Somatic Symptoms With the CES-D to Assess Depression in Cancer Patients After Treatment: Comparison Among Patients With Oral/Oropharyngeal, Gynecological, Colorectal, and Breast Cancer
van Wilgen et al.
Psychosomatics 2006;47:465-470.
ABSTRACT
| FULL TEXT
Improved Staging of Cervical Metastases in Clinically Node-Negative Patients With Head and Neck Squamous Cell Carcinoma
Ross et al.
Ann. Surg. Oncol. 2004;11:213-218.
ABSTRACT
| FULL TEXT
The Use of Sentinel Node Biopsy to Upstage the Clinically N0 Neck in Head and Neck Cancer
Ross et al.
Arch Otolaryngol Head Neck Surg 2002;128:1287-1291.
ABSTRACT
| FULL TEXT
|
