Health Condition 1: C14- Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx Health Condition 2: C329- Malignant neoplasm of larynx, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Adults (More than18 years) with head and neck cancer undergoing unilateral neck dissection 2)No prior neck surgery or radiotherapy 3)Literate patients (ability to read and,or write a particular regional language or English) with the ability to provide informed consent.
Exclusion criteria
Exclusion criteria: 1.Bilateral neck dissection 2.Pre existing shoulder dysfunction 3.Neuromuscular disorders affecting the upper limb 4.Undergoing PMMC Flap 5. History of cervical spine or shoulder trauma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare postoperative shoulder dysfunction scores across the three neck dissection strategies using the Constant-Murley Score and Neck Dissection Index at 6 months from baseline.Timepoint: 6 months (5 to 7 months) post surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To assess the proportion of patients achieving clinically meaningful improvement (More than 10 points) in shoulder function. 2.To evaluate accessory nerve-related symptoms and their correlation with level 2b dissection status. 3.To explore the relationship between the extent of neck dissection and the range of shoulder motion.Timepoint: 1.Proportion of patients with more than 10 point improvement in Constant-Murley Score and NDII at 2 4 weeks, 6 months, and 12 months post-surgery. 2.Incidence of accessory nerve-related symptoms and correlation with level IIb dissection at 2 4 weeks, 6 months, and 12 months post-surgery. 3.Range of shoulder motion (abduction, flexion) and its association with extent of neck dissection at 2 4 weeks, 6 months, and 12 months post-surgery. | — |
Countries
India
Contacts
TATA MEMORIAL HOSPITAL