Morbidity of the neck after head and neck cancer therapy |
| |
Authors: | van Wilgen C Paul Dijkstra Pieter U van der Laan Berend F A M Plukker John T Roodenburg Jan L N |
| |
Affiliation: | Department of Oral and Maxillofacial Surgery, University Hospital Groningen, The Netherlands. c.p.van.wilgen@rev.azg.nl |
| |
Abstract: | BACKGROUND: Studies on morbidity of the neck after head and neck cancer therapy are scarcely described. METHODS: Patients who underwent surgery, including neck dissection, with and without radiation therapy at least 1 year before the study were asked to participate. We assessed neck pain, loss of sensation, range of motion of the cervical spine, and shoulder pain. RESULTS: Of the 220 patients who were invited, 153 (70%) participated in the study. Neck pain was present in 33% of the patients (n = 51), and shoulder pain was present in 37% of the patients (n = 57). Neuropathic pain of the neck was present in 32% (n = 49); myofascial pain, in 46% (n = 70); and joint pain, in 24% (n = 37). Loss of sensation of the neck was present in 65% (n = 99) and was related to type of neck dissection and radiation therapy. Range of motion of the neck was significantly decreased because of the neck dissection and/or radiation therapy in lateral flexion away from the operated side. CONCLUSIONS: The occurrences of morbidity of the neck after cancer therapy were considerable and consisted of neck pain, loss of sensation, and decreased range of motion. |
| |
Keywords: | head and neck cancer neck dissection neck pain loss of sensation range of motion |
本文献已被 PubMed 等数据库收录! |
|