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Speech Outcomes in Patients with Neck Dissections

Neck dissections have been proposed as surgical interventions for regional lymph node metastases removal in the 19th century. The first detailed description of “en block” tumor removal together with metastatic lymph nodes of the neck, was performed in 1888 by Franciszek Jawdynski. Damage to various structures in these operations causes significant function loss. The purpose of the present study is to determine the degree of impairment of speech function, depending on the surgical volume and extension. Methods. A bio-psycho-social method, the Speech Handicap Index mapping tool, was used to evaluate the speech function of all operated patients. The results obtained were analyzed by SPSS Vers23.0. Results. A prospective longitudinal study of 68 patients (25 women - 36.76% and 43 men - 63.24%, and mean age - 61.18 years (Me - 61.00; Mo - 70; SD - 13.66)), was conducted. In the postoperative period, no significant difference was found in the three domains of SHI in terms of the surgical volume.Conclusion. The volume and the extend of the neck dissection bar does not cause any significant speech disorders postoperatively.