Sensory changes associated with selective neck dissection

Scott H. Saffold, Mark Wax, Anthony Nguyen, James E. Caro, Peter Andersen, Edwin C. Everts, James Cohen

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objective: To evaluate sensory changes in the head and neck region associated with selective neck dissection with or without preservation of cervical root branches. Design: Retrospective cohort study. Setting: University tertiary referral hospital and a Veterans Affairs hospital. Patients: Fifty-seven patients who had undergone 84 neck dissections with or without preservation of the sensory cervical root branches 3 or more months before evaluation. Interventions: Questionnaire combined with head and neck sensory examination. Main Outcome Measures: Neck and facial sensory function. Results: Neck dissections with preservation of the cervical rootlets were most likely to be associated with a small area of anesthesia in the upper neck below the body of the mandible and anterior to the mid-body of the mandible (P = .03). Neck dissections without rootlet-preserving technique increased the area of anesthesia to include all other areas of the neck (P = .02). Conclusions: Preservation of the cervical root branches resulted in a small, limited, and uniform area of the neck rendered permanently anesthetic. Conversely, sacrifice of the nerve branches led to a pattern of anesthesia involving the entire neck.

Original languageEnglish (US)
Pages (from-to)425-428
Number of pages4
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume126
Issue number3
StatePublished - Mar 2000

Fingerprint

Neck Dissection
Neck
Anesthesia
Mandible
Head
Veterans Hospitals
Tertiary Care Centers
Anesthetics
Cohort Studies
Retrospective Studies
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Sensory changes associated with selective neck dissection. / Saffold, Scott H.; Wax, Mark; Nguyen, Anthony; Caro, James E.; Andersen, Peter; Everts, Edwin C.; Cohen, James.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 126, No. 3, 03.2000, p. 425-428.

Research output: Contribution to journalArticle

Saffold, Scott H. ; Wax, Mark ; Nguyen, Anthony ; Caro, James E. ; Andersen, Peter ; Everts, Edwin C. ; Cohen, James. / Sensory changes associated with selective neck dissection. In: Archives of Otolaryngology - Head and Neck Surgery. 2000 ; Vol. 126, No. 3. pp. 425-428.
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