Aim: The objective of this study is to evaluate the impact
of neck dissection on shoulder dysfunction,
encompassing pain and disability, over a six-month
follow-up period in individuals who have undergone
surgery for squamous cell carcinoma of the oral cavity.
Objectives: This observational study was conducted to
assess the evolution of the degree and extent of shoulder
pain and shoulder disability during a six-month period
following neck dissection.
Materials and methods: All patients who had undergone
neck dissection as part of their treatment for squamous
cell carcinoma of the oral cavity and had provided
written consent to participate in the study were
subjected to an evaluation of shoulder dysfunction using
the SPADI index. The SPADI questionnaire was
administered, and corresponding scores were assigned to
each patient based on their responses.
Result: In summary, the manipulation of cranial nerve
XI during neck dissection indeed leads to shoulder pain,
decreased shoulder range of motion, reduced strength,
and limitations in shoulder-related activities.
Furthermore, the degree of manipulation of cranial
nerve XI has a notable impact on these outcomes.