We report three cases of a rare late complication of neck dissection: anterior dislocation and hypertrophy of the sternal head of the clavicle manifesting as a hard lump in the lower neck. We describe the mode of presentation, etiology, and methods of prevention.
References
1.
TaylorJ.M., MendenhallW.M., ParsonsJ.T., LaveyR.S.The influence of dose and time on wound complications following post-radiation neck dissection. Int J Radiat Oncol Biol Phys1992; 23: 41–6.
MillionR.R., CassisiN.J., MancusoA.A.Management of the neck for squamous cell carcinoma. In: Management of Head and Neck Cancer: A Multidisciplinary Approach. 2nd ed. Philadelphia: J.B. Lippincott, 1994.
4.
CrileG.W.Excision of cancer of the head and neck: With special reference to the plan of dissection based on 132 patients. JAMA1906; 47: 1780–6.
5.
SobolS., JensenC., SawyerW.Objective comparison of physical dysfunction after neck dissection. Am J Surg1985; 150: 503–9.
6.
RemmlerD., ByersR., ScheetzJ.A prospective study of shoulder disability resulting from radical and modified neck dissections. Head Neck Surg1986; 8: 280–6.