Shoulder morbidity after pectoralis major flap reconstruction for head and neck cancer.
dc.contributor.author | Merve, Ashriwad | |
dc.contributor.author | Mitra, Indu | |
dc.contributor.author | Swindell, Ric | |
dc.contributor.author | Homer, Jarrod J | |
dc.date.accessioned | 2009-07-15T16:23:00Z | |
dc.date.available | 2009-07-15T16:23:00Z | |
dc.date.issued | 2009-04-21 | |
dc.identifier.citation | Shoulder morbidity after pectoralis major flap reconstruction for head and neck cancer. 2009: Head Neck | en |
dc.identifier.issn | 1097-0347 | |
dc.identifier.pmid | 19384934 | |
dc.identifier.doi | 10.1002/hed.21116 | |
dc.identifier.uri | http://hdl.handle.net/10541/73962 | |
dc.description.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. | |
dc.language | ENG | |
dc.language.iso | en | en |
dc.subject | Head and Neck Cancer | en |
dc.subject | Shoulder Morbidity | en |
dc.subject | Neck Dissection | en |
dc.subject | Surgical Reconstruction | en |
dc.title | Shoulder morbidity after pectoralis major flap reconstruction for head and neck cancer. | en |
dc.type | Article | en |
dc.contributor.department | Department of Surgery, Christie Hospital, Manchester, United Kingdom. | en |
dc.identifier.journal | Head & Neck | en |
html.description.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. |
This item appears in the following Collection(s)
-
All Christie Publications
-
Surgery
Surgery