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    Shoulder morbidity after pectoralis major flap reconstruction for head and neck cancer.

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    Authors
    Merve, Ashriwad
    Mitra, Indu
    Swindell, Ric
    Homer, Jarrod J
    Affiliation
    Department of Surgery, Christie Hospital, Manchester, United Kingdom.
    Issue Date
    2009-04-21
    
    Metadata
    Show full item record
    Abstract
    BACKGROUND.: The effect of pectoralis major flap (PMF) harvest on shoulder function, allowing for the effects of neck dissection, has not previously been objectively measured. METHODS.: Twenty-two patients who underwent PMF reconstruction were studied. The control group comprised 35 patients with neck dissection (without PMF). Neck dissections in both groups were classified into 3 grades; grade 1: no neck dissection/selective neck dissection; grade 2: modified radical neck dissection; grade 3: radical neck dissection/extended radical neck dissection. Objective shoulder assessments were carried out using Constant score. RESULTS.: Constant score deteriorated with grade of neck dissection (p < .005). The median Constant score for PMF group and neck dissection only group were 82 and 90, respectively (p = .40). Subgroup analysis within neck dissection grade did not show any significant difference, but the effect of PMF was noted to be greatest in grade 2 patients (p = .064). CONCLUSIONS.: There is minimal or low shoulder morbidity, additional to neck dissection, caused by PMF reconstruction in head and neck surgery. (c) 2009 Wiley Periodicals, Inc. Head Neck, 2009.
    Citation
    Shoulder morbidity after pectoralis major flap reconstruction for head and neck cancer. 2009: Head Neck
    Journal
    Head & Neck
    URI
    http://hdl.handle.net/10541/73962
    DOI
    10.1002/hed.21116
    PubMed ID
    19384934
    Type
    Article
    Language
    en
    ISSN
    1097-0347
    ae974a485f413a2113503eed53cd6c53
    10.1002/hed.21116
    Scopus Count
    Collections
    All Christie Publications
    Surgery

    entitlement

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