Pain in the neck after neck dissection

Yoav P. Talmi, Zeev Horowitz, M. Raphael Pfeffer, Orit C. Stolik-Dollberg, Yitzhak Shoshani, Michael Peleg, Jona Kronenberg

Research output: Contribution to journalArticle

34 Scopus citations

Abstract

BACKGROUND: Reports of disability after neck dissection have been directed toward shoulder dys-function and pain. We could find no report addressing the issue of pain localized to the actual operative site. We have conducted a combined prospective and retrospective study of pain in patients undergoing neck dissection. METHODS: Eighty-eight disease-free patients were evaluated in 3 groups for neck pain. One group was followed up prospectively for 1 to 8 months after surgery, and 2 retrospective groups were followed up for more than 2 years or for 6 months to 2 years. Pain was assessed by a body map and visual analog scale. RESULTS: None of 31 patients followed up for more than 2 years reported neck pain. Four of 27 patients followed up for 6 to 24 months had pain, with a mean visual analog scale score of 3.7. Seventy percent of the prospective group of 30 patients had pain during the first postoperative week, and only 1 patient had pain persisting for more than 2 months. Shoulder pain and disability after radical neck dissection were encountered in all groups, comparable with the incidence reported in the literature. No postoperative neuromas were found. CONCLUSIONS: Chronic pain localized to the operative site is an uncommon occurrence even after radical neck dissection. Chronic pain in the shoulder region may follow radical neck dissection, whereas modified neck dissection is usually a painless procedure.

Original languageEnglish (US)
Pages (from-to)302-306
Number of pages5
JournalOtolaryngology - Head and Neck Surgery
Volume123
Issue number3
DOIs
StatePublished - Jan 1 2000
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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    Talmi, Y. P., Horowitz, Z., Pfeffer, M. R., Stolik-Dollberg, O. C., Shoshani, Y., Peleg, M., & Kronenberg, J. (2000). Pain in the neck after neck dissection. Otolaryngology - Head and Neck Surgery, 123(3), 302-306. https://doi.org/10.1067/mhn.2000.104946