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Neck treatment and shoulder morbidity: Still a challenge

✍ Scribed by Patrick J. Bradley; Alfio Ferlito; Carl E. Silver; Robert P. Takes; Julia A. Woolgar; Primož Strojan; Carlos Suárez; Hakan Coskun; Peter Zbären; Alessandra Rinaldo

Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
107 KB
Volume
33
Category
Article
ISSN
1043-3074

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✦ Synopsis

Abstract

Shoulder complaints and functional impairment are common sequelae of neck dissection. This is often attributed to injury of the spinal accessory nerve by dissection or direct trauma. Nevertheless, shoulder morbidity may also occur in cases in which the spinal accessory nerve has been preserved. In this article, the physiology and pathophysiology of the shoulder are discussed, followed by a consideration of the impact of neck dissection on shoulder complaints, functional impairment, and quality of life. Finally, rehabilitation will be considered. © 2010 Wiley Periodicals, Inc. Head Neck, 2011

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