Motor and sensory complications following neck dissection: a prospective telephone-interview study.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-08-01 DOI:10.1017/S0022215125000234

Matthew Conley, James Brooks, Dare Oladokun, Rebecca Dawson, James Moor

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引用次数: 0

Abstract

Objectives: To clarify incidence, progression and effect on quality of life of shoulder/neck disability, oral asymmetry, neuropathic pain and numbness following neck dissection.

Methods: This prospective telephone-interview study delivered the Neck Dissection Impairment Index, Neuropathic Pain Questionnaire, House-Brackmann Scale and questions assessing numbness to patients before and three times after neck dissection.

Results: Mean Neck Dissection Impairment Index (6.43 vs 22.17; p = 0.004) and Neuropathic Pain Questionnaire scores (0.76 vs 2.30; p = 0.004), proportions of patients with oral asymmetry (3 per cent vs 33.3 per cent; p = 0.016), ear (5.9 per cent vs 46.7 per cent; p = 0.002), jaw (5.9 per cent vs 53.3 per cent; p < 0.001) and neck numbness (5.9 per cent vs 53.3 per cent; p < 0.001) each increased significantly from pre-operation versus 12 weeks after. Neuropathic pain diagnoses did not reach significance. No outcome returned to baseline and progression of each was illustrated over time.

Conclusion: The findings demonstrated that these complications are common and persist throughout short-term recovery. Screening to identify and manage complications could improve post-operative care.

查看原文本刊更多论文

颈部解剖后的运动和感觉并发症：一项前瞻性电话访谈研究。

目的：了解颈夹层术后肩/颈残疾、口腔不对称、神经性疼痛和麻木的发生率、进展及其对生活质量的影响。方法：采用前瞻性电话访谈法，对颈椎病患者进行颈夹层损伤指数、神经性疼痛问卷、House-Brackmann量表及麻木评估问卷。结果：平均颈夹层损伤指数（6.43 vs 22.17）；p = 0.004)和神经性疼痛问卷评分(0.76 vs 2.30；P = 0.004)，口腔不对称患者的比例(3% vs 33.3%；P = 0.016)，耳朵(5.9% vs 46.7%；P = 0.002)，下颌(5.9% vs 53.3%；P < 0.001)和颈部麻木(5.9% vs 53.3%；P < 0.001)，与术前相比，12周后显著增加。神经性疼痛诊断无显著意义。结果均未恢复到基线水平，并随时间进行了进展分析。结论：研究结果表明，这些并发症是常见的，并持续在短期恢复。通过筛查来识别和处理并发症可以改善术后护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.