Marginal mandibular nerve injury during neck dissection and its impact on patient perception of appearance.

Batstone, Martin D., Scott, Barry, Lowe, Derek and Rogers, Simon N. (2009) Marginal mandibular nerve injury during neck dissection and its impact on patient perception of appearance.. Head and Neck, 31 5: 673-678. doi:10.1002/hed.21013


Author Batstone, Martin D.
Scott, Barry
Lowe, Derek
Rogers, Simon N.
Title Marginal mandibular nerve injury during neck dissection and its impact on patient perception of appearance.
Journal name Head and Neck   Check publisher's open access policy
ISSN 1043-3074
1097-0347
Publication date 2009-05
Year available 2009
Sub-type Article (original research)
DOI 10.1002/hed.21013
Volume 31
Issue 5
Start page 673
End page 678
Total pages 6
Place of publication Hoboken, NJ United States
Publisher John Wiley and Sons
Collection year 2010
Language eng
Formatted abstract
Background. Neck dissection to remove cervical lymph nodes is common practice in head and neck cancer management. The marginal mandibular nerve may be injured during neck dissection, particularly of level 1. The rate of injury to this nerve is underreported in the literature and its impact on patients is not well defined.

Methods
. An observational study was undertaken on patients who had undergone neck dissection over a 5-year period. The patients were examined for weakness and given a questionnaire related their perception of their appearance and their function.

Results.
Sixty-six patients were identified who had undergone 85 neck dissections. The rate of House Brackmann injury was 18% when analyzed by patient and 23% by neck. There were moderate correlations between observed injury and subjective responses to questions relating to ability to smile and weakness of the lower lip.

Discussion. The rate of smile asymmetry following neck dissection is relatively high; however, severe injuries to the marginal mandibular nerve are uncommon
Keyword Appearance
Facial nerve
Head and neck cancer
Marginal mandibular
Neck dissection
Nerve injury
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Wed, 07 Aug 2013, 12:34:50 EST by Martin Batstone on behalf of Surgery - Royal Brisbane and Women's Hospital