Functional complications of neck dissections

Abstract

Neck dissections remain a crucial aspect of surgical oncological care of the head and neck cancer patient and remain associated with a range of functional consequences that profoundly affect patients’ quality of life. Understanding these functional consequences is essential as it allows clinicians to make informed decisions, counsel patients effectively, and develop strategies to optimize postoperative rehabilitation. This article embarks on a comprehensive exploration of the functional consequences of neck dissections, drawing upon a wealth of research and clinical experience. We delve into the diverse aspects of this complex issue, examining the impact of neck dissections on patients’ daily lives, the factors influencing these consequences, and the evolving strategies to mitigate their effects. From considerations of lymphedema, shoulder mobility, and speech outcomes to the critical role of preoperative evaluation and postoperative rehabilitation, this article strives to shed light on a multifaceted subject of paramount importance in the realm of head and neck cancer care. We will aim to provide insights that guide clinical practice, stimulate further research, and ultimately enhance the overall well-being of patients undergoing these pivotal procedures.