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Surgical reconstruction for shoulder pain after radical neck dissection
Affiliation:1. Rochester, New York, USA;2. Oxford, England;1. State Key Laboratory of Tribology, Department of Mechanical Engineering, Tsinghua University, Beijing 100084, China;2. CAS Key Laboratory of Standardization and Measurement for Nanotechnology, National Center for Nanoscience and Technology, Beijing 100190, China;1. School of Economics, Jiangxi University of Finance and Economics, Nanchang, 330013, China;2. Institute of Blue and Green Development, Shandong University, Weihai, 264200, China;3. School of Economics and Management, Zhejiang A&F University, Zhejiang Province, 311300, China;1. Shanghai Institute of Applied Physics, Chinese Academy of Sciences, 2019 Jia Luo Road, 201800 Shanghai, PR China;2. Key Laboratory of Interfacial Physics and Technology, Chinese Academy of Sciences, PR China;1. Melanoma Institute Australia, The University of Sydney, Sydney, Australia;2. Memorial Sloan Kettering Cancer Center, New York, USA;3. The Royal Marsden NHS Foundation Trust, London, UK;4. Westmead Hospital and Blacktown Hospitals, Sydney, Australia;5. Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, Australia;6. Netherlands Cancer Institute, Amsterdam, Netherlands;7. University Hospital Zurich, Zürich, Switzerland;8. Greenslopes Private Hospital, Princess Alexandra Hospital and The University of Queensland, Brisbane, Australia;9. The Alfred Hospital, Melbourne, Australia;10. Vanderbilt University Medical Center, Nashville, USA;11. Medical University of Vienna, Vienna, Austria;12. Fiona Stanley Hospital, The University of Western Australia, Perth, Australia;13. School of Medicine and Pharmacology, Nedlands, Australia;14. The University of Texas MD Anderson Cancer Center, Houston, USA;15. Royal North Shore and Mater Hospitals, Sydney, Australia;1. Division of Physiotherapy, School of Health and Rehabilitation Sciences, Therapies Building 84a, The University of Queensland, St Lucia, Brisbane, QLD 4072, Australia;2. Centre for Functioning and Health Research, Metro South Hospital and Health Service, P.O. Box 6053, Buranda, Brisbane, QLD 4102, Australia;3. Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Keele, Staffordshire, ST5 5BG, United Kingdom;4. Musculoskeletal Division, The George Institute for Global Health, Level 3, 50 Bridge Street, University of Sydney, Sydney, NSW 2000, Australia;5. School of Public Health and Social Work and the Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Brisbane, QLD 4059, Australia;6. School of Medicine, Herston Road, The University of Queensland, Herston, Brisbane, QLD 4006, Australia;7. Otolaryngology-Head and Neck Surgery Department, Princess Alexandra Hospital, 196 Ipswich Road, Queensland Health, Woolloongabba, Brisbane, QLD 4102, Australia;8. Physiotherapy Department, Royal Brisbane and Women''s Hospital, Butterfield Street, Queensland Health, Herston, Brisbane, QLD 4029, Australia
Abstract:Shoulder disability after transection of the spinal accessory nerve is variable. Symptomatic patients obtain relief of pain and improved shoulder motion by resuspension of the scapula. Five patients with symptomatic paralysis of the trapezius muscle after radical neck dissection have had a Dewar-Harris type of shoulder suspension operation. One patient who had associated paralysis of the serratus anterior muscle was not improved. The remaining four patients had improved abduction and significant relief of pain. This operation is recommended for the patient with shoulder symptoms due to paralysis of the trapezius muscle and who does not respond to conservative measures.
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