{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:45:36Z","timestamp":1786977936071,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2009,4,21]],"date-time":"2009-04-21T00:00:00Z","timestamp":1240272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2009,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic>Background.<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>The effect of pectoralis major flap (PMF) harvest on shoulder function, allowing for the effects of neck dissection, has not previously been objectively measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic>Methods.<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Twenty\u2010two patients who underwent PMF reconstruction were studied. The control group comprised 35 patients with neck dissection (without PMF). Neck dissections in both groups were classified into 3 grades; grade 1: no neck dissection\/selective neck dissection; grade 2: modified radical neck dissection; grade 3: radical neck dissection\/extended radical neck dissection. Objective shoulder assessments were carried out using Constant score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic>Results.<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>\n                      Constant score deteriorated with grade of neck dissection (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .005). The median Constant score for PMF group and neck dissection only group were 82 and 90, respectively (\n                      <jats:italic>p<\/jats:italic>\n                      = .40). Subgroup analysis within neck dissection grade did not show any significant difference, but the effect of PMF was noted to be greatest in grade 2 patients (\n                      <jats:italic>p<\/jats:italic>\n                      = .064).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic>Conclusions.<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>There is minimal or low shoulder morbidity, additional to neck dissection, caused by PMF reconstruction in head and neck surgery. \u00a9 2009 Wiley Periodicals, Inc. Head Neck, 2009<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.21116","type":"journal-article","created":{"date-parts":[[2009,4,21]],"date-time":"2009-04-21T11:40:47Z","timestamp":1240314047000},"page":"1470-1476","source":"Crossref","is-referenced-by-count":22,"title":["Shoulder morbidity after pectoralis major flap reconstruction for head and neck cancer"],"prefix":"10.1002","volume":"31","author":[{"given":"Ashirwad","family":"Merve","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indu","family":"Mitra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ric","family":"Swindell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarrod J.","family":"Homer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,4,21]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197901000-00012"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20101"},{"key":"e_1_2_7_4_2","first-page":"3","volume-title":"Atlas of regional and free flaps for head and neck reconstruction","author":"Urken ML","year":"1995"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199704001-00011"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1997.01900070075012"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.2.181"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2001.21011"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199708)19:5<412::AID-HED8>3.0.CO;2-2"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(98)90102-8"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890080503"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200004000-00016"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.2.149"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198701000-00023"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10067"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B2.15305"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000154729.31281.da"},{"key":"e_1_2_7_18_2","doi-asserted-by":"crossref","first-page":"8 Pt 1","DOI":"10.1177\/000348940010900811","article-title":"Objective comparison of shoulder dysfunction after three neck dissection techniques","volume":"109","author":"Cheng PT","year":"2000","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2002.00604.x"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20095"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2003.38"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000191459.40059.fd"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199712000-00007"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200211000-00004"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.21116","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.21116","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T20:04:16Z","timestamp":1699992256000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.21116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,4,21]]},"references-count":23,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2009,11]]}},"alternative-id":["10.1002\/hed.21116"],"URL":"https:\/\/doi.org\/10.1002\/hed.21116","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,4,21]]}}}