Importance of the cervical plexus for shoulder dysfunction following neck dissection
Importance of the cervical plexus for shoulder dysfunction following neck dissection
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DOI：
10.1007/s00106-001-0587-3
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发表时间：
2002-06-01
期刊：
影响因子：
0.9
通讯作者：
Berghaus, A
中科院分区：
文献类型：
--
作者：
Agha-Mir-Salim, P;Funk, WSMU;Berghaus, A
背景。颈神经丛敏感部位在神经性疼痛发展中的作用尚不清楚。本研究探讨不同类型颈夹层术后肩痛与颈丛神经损伤的关系。材料和方法。测试了C2、C3、C4皮节和枕小神经对热/冷和锐/钝的敏感性。用评定量表半定量地测量肩痛。术后6个月运动依赖性肩痛发生率为50%，保留这些结构后为29.2%。根治性ND术后疼痛发生率高于改良根治性1型和3型ND术后。我们的研究表明，浅颈神经丛的功能是可评估的皮肤敏感性试验。枕小神经似乎受影响较小。保留颈神经丛的病例疼痛症状较少。我们可以得出结论，保留颈浅丛对减少术后肩痛很重要。
Background. The role of sensitive parts of the cervical plexus for the development of neuropathic pain is not yet clear. Our study investigated the correlation between shoulder pain and cervical plexus damage after different types of neck dissection (ND).Material and methods. The sensitivity for warm/cold and sharp/blunt was tested in the dermatomes of C2, C3, C4, and the minor occipital nerve. Shoulder pain was measured semiquantitatively by a rating scale.Results. Motion-dependent shoulder pain was observed 6 months postoperatively in 50% after resection and in 29.2% after preservation of these structures. Pain occurred more frequently following radical ND than after modified radical types 1 and 3 ND.Discussion. Our investigations showed that the superficial cervical plexus function is assessable by cutaneous sensitivity tests. The minor occipital nerve seemed to be less affected. Fewer pain symptoms in cases with preserved cervical plexus could be demonstrated. We can conclude that preservation of the superficial cervical plexus is important to diminish postoperative shoulder pain.