Quality of life after neck dissection

Abstract

To assess the impact of modifications to radical neck dissection on the postoperative quality of life, we have developed an “Arm Abduction Test (AAT)” and “Questions on QOL related to Neck Dissection (QQND)”. A multicenter study using these measures revealed that patients who had neck disseotion sparing SAN had better shoulder function. When the SAN was preserved, patients without dissection of levels V had better scores on pain and constriction of the neck. Sacrifice of the sternocleidmastoid muscle and/or the SAN had significant impacts on daily activities as well as work and leisure. ATT scores and those of answers regarding shoulder function were significantly correlated. © 2005, Japan Society for Head and Neck Cancer. All rights reserved.