OBJECTIVE: To investigate the incidence of occult nodal @entity3 and severity of @entity409 after selective neck dissection (SND) for recurrent @entity189 ( @entity189 ) with N0 status. STUDY DESIGN: Prospective, single-group, pre/post test design. SETTING: Academic medical center. SUBJECTS AND METHODS: Between 1998 and 2012, 46 @entity1 who had recurrent @entity189 and N0 status were recruited. They subsequently received salvage nasopharyngectomy and SND, removing ipsilateral level I to III and V lymphatics. The incidence of occult nodal @entity3 was noted. All @entity1 underwent standardized physiotherapy after surgery. Postoperative shoulder function was measured using the Disability of Arm, Shoulder, and Hand (DASH) questionnaire. RESULTS: The incidence of microscopic nodal @entity3 was 15.2%. For first year posttreatment, the mean DASH score was 44.2. With time, there was no improvement in shoulder function despite targeted physiotherapy (P = .09), and the second postoperative year mean DASH score was 46.3. The degree of daily activity affected was rated as moderate to very limited, and 30% of the @entity1 had at least moderate shoulder @entity158 at rest. CONCLUSION: Shoulder dysfunction after SND for recurrent @entity189 is significant and persistent. Given the low incidence of microscopic nodal @entity3 in such circumstances, routine SND is not recommended.

Shoulder Dysfunction after Selective Neck Dissection in Recurrent XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity409 :: ('MESH:D008107', 'Disease') :: ['shoulder dysfunction'] @entity189 :: ('MESH:D002277', 'Disease') :: ['nasopharyngeal carcinoma', 'NPC'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis']
@entity189 :: (MESH:D002277,Disease) :: ['Nasopharyngeal Carcinoma']
