Effect of nerve monitoring on shoulder function in neck dissection

Effect of the usage of Intraoperative neuromonitoring (IONM) of Spinal Accessory Nerve on Post operative shoulder function among the patients with Head and Neck cancer undergoing neck dissections- A Randomised Controlled Trial - NIL

Status

Active, not recruiting

Phases

Phase 2

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2023/10/058330

Enrollment

Registered

2023-10-05

Start date

Unknown

Completion date

Unknown

Last updated

2023-10-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: - Health Condition 2: C00-C14- Malignant neoplasms of lip, oral cavity and pharynx

Interventions

Intervention1: Group 1: IONM for Neck dissection patients Control Intervention1: Group 2: Standard Neck dissection without IONM

Eligibility

Inclusion criteria

Inclusion criteria: 1. Adult Population age 18 years or older 2. ECOG Performance Status of 0 to 2 3.Neck dissection that includes level of lymph nodes along Spinal accessory nerve

Exclusion criteria

Exclusion criteria: 1 patients having rheumatologic, metabolic disorders, or previous trauma to the neck. 2. Patients who already have diagnosed neurological shoulder dysfunction pre operatively. 3. Patients with trauma to shoulder or previous shoulder surgeries. 4. Neck dissection involving Lymph nodes levels away from spinal accessory nerve are not included. 5.Planned for RND

Design outcomes

Primary

Measure	Time frame
To assess the effect of the usage of Intraoperative neuromonitoring (IONM) of Spinal Accessory Nerve in comparison with routine practice on Post-operative shoulder function assessed by using the SPADI questionnaire ,Range of movement assessed by using Hand held Goniometer among the patients with Head ,Neck cancer undergoing neck dissections .Timepoint: Baseline , 4 weeks , 12 weeks	—

Secondary

Measure	Time frame
NILTimepoint: NIL	—

Countries

India

Contacts

Public ContactTVIGNESHWAR

Jawaharlal Institute of Postgraduate Medical Education and Research

drbalasubram@gmail.com9445771418

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026