Liječnički vjesnik, Vol. 137 No. 7-8, 2015.
Izvorni znanstveni članak
INFLUENCE OF NECK DISSECTION ON THE CORRESPONDING MOTOR AND SENSORY NERVES
Aleksandar Milenović
Predrag Knežević
Vanja Vučićević Boras
Dragana Gabrić
Ana Andabak Rogulj
Mišo Virag
Sažetak
Objective: Radical neck dissection (RND), utilized for treatment of lymph node metastases in patients with head and neck cancers, can result in clinically significant functional disturbance secondary to the corresponding nerve damage. However, there is only limited data relative to post-operative analysis of impact of RND on the cranial and cervical nerves after neck dissection especially regarding the technique used such as electroknife or scalpel. Study design: 48 patients (42 men and 6 women) with intraoral cancer were enrolled. A total of 55 dissections were performed, including 7 patients who received bilateral dissections. Analysis of motor and sensory nerves was conducted seven days and three months later with regard whether electroknife or scalpel was used. Results: The most frequent post-operative loss of motor function was seen in accessory and hypoglossal nerves; within sensory nerves the lingual nerve was most frequently dysfunctional. Permanent diaphragm dysfunction was seen in 15% of investigated patients. Conclusion: We might conclude that routine evaluation of sensoneural and motor nerve function of all potentially damaged nerves should be performed after RND, especially regarding diaphragm paralysis. There were no differences in postoperative nerve function of the examined nerves with regard to the technique used (electroknife/scalpel).
Ključne riječi
Head and neck neoplasms – surgery; Neck dissection – methods, adverse effects; Accessory nerve injuries – etiology; Hypoglossal nerve injuries – etiology; Lingual nerve injuries – etiology; Phrenic nerve – injuries; Paralysis – etiology; Diaphragm – innervation
Hrčak ID:
172711
URI
Datum izdavanja:
2.9.2015.
Posjeta: 2.643 *