Shoulder function after accessory nerve-sparing neck dissections

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dc.contributor.buuauthorErişen, Levent
dc.contributor.buuauthorBaşel, Bekir
dc.contributor.buuauthorİrdesel, Jale
dc.contributor.buuauthorZarifoğlu, Mehmet
dc.contributor.buuauthorCoşkun, Hakan
dc.contributor.buuauthorBasut, Oğuz
dc.contributor.buuauthorTezel, İlker
dc.contributor.buuauthorHızalan, İbrahim
dc.contributor.buuauthorOnart, Selçuk
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Kulak Burun ve Boğaz Hastalıkları Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı.tr_TR
dc.contributor.researcheridC-3960-2015tr_TR
dc.date.accessioned2021-07-06T08:02:27Z
dc.date.available2021-07-06T08:02:27Z
dc.date.issued2004-11
dc.descriptionBu çalışma, 29 Kasım-2 Aralık 2002 tarihleri arasında Rio de Janerio, Brezilya'daki Uluslararası Baş ve Boyun Cerrahisi Derneği 2. Dünya Kongresinde sunulmuştur.tr_TR
dc.description.abstractBackground, This study was designed to observe the effect of preserving the spinal accessory nerve (SAN) during neck dissection (ND) and adjuvant radiotherapy (ART) after ND on shoulder function. Methods. Fifty-seven patients with head and neck cancer who had undergone primary tumor resection and various types of NDs were enrolled in this prospective study. Postoperative shoulder joint range of motion was evaluated by goniometry, and muscle strength was measured manually. SAN function was evaluated with electromyography (EMG) with respect to percentage of denervation and presence of neurogenic involvement. Patients were grouped by treatment as follows: radical ND (FIND) versus modified radical ND (MRND)/selective ND (SND) and ART versus no ART. Results. Shoulder joint range of motion and shoulder muscle strength were significantly better in the MRND/SND group than in the FIND group. However, EMG findings were similar in the RND and MRND/SND groups. When all patients who underwent ND, RIND, or MRND/SND were compared with the control group, statistically significant changes in shoulder joint range of motion and shoulder muscle strength were found. Also, denervation and neurogenic involvement of the SAN were significantly higher after all NDs than in the control group. ART did not affect range of motion of the shoulder joint, shoulder muscle strength, or the degree of denervation and neurogenic involvement in any of the ND groups. Conclusions. ART does not have a negative effect on shoulder function after ND. SAN is always functionally impaired even if we preserve it macroscopically during ND.en_US
dc.description.sponsorshipBrazilian Soc Head & Neck Surg; Inst Nacl Canc; Amer Head & Neck Soc; Int Federat Head & Neck Oncol Soctr_TR
dc.identifier.citationErişen, L. vd. (2004). “Shoulder function after accessory nerve-sparing neck dissections”. Head and Neck-Journal for the Sciences and Specialties of the Head and Neck, 26(11), 967-971.en_US
dc.identifier.endpage971tr_TR
dc.identifier.issn1043-3074
dc.identifier.issue11tr_TR
dc.identifier.pubmed15459926tr_TR
dc.identifier.scopus2-s2.0-8444244572tr_TR
dc.identifier.startpage967tr_TR
dc.identifier.urihttps://doi.org/10.1002/hed.20095
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/full/10.1002/hed.20095
dc.identifier.urihttp://hdl.handle.net/11452/21107
dc.identifier.volume26tr_TR
dc.identifier.wos000224792600007tr_TR
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherJohn Wiley & Sonsen_US
dc.relation.journalHead and Neck-Journal for the Sciences and Specialties of the Head and Necken_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSpinal accessory nerveen_US
dc.subjectNeck dissectionen_US
dc.subjectShoulder functionen_US
dc.subjectPhysical therapyen_US
dc.subjectElectromyographyen_US
dc.subjectDysfunctionen_US
dc.subjectDisabilityen_US
dc.subjectOtorhinolaryngologyen_US
dc.subjectSurgeryen_US
dc.subject.wosOtorhinolaryngologyen_US
dc.subject.wosSurgeryen_US
dc.titleShoulder function after accessory nerve-sparing neck dissectionsen_US
dc.typeArticle
dc.typeProceedings Paper
dc.wos.quartileQ1en_US

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