
The study aimed to compare the neck and shoulder function after treatment in patients with human papillomavirus-associated oropharynx squamous cell carcinoma (HPV+OPSCC). It was a prospective study conducted at a tertiary care center. The Neck Dissection Impairment Index (NDII) was used to assess neck and shoulder function before treatment, at 3 months, and 1 year after treatment. The study included 106 treatment-naïve patients who underwent surgery alone, surgery with adjuvant radiation, or definitive radiation. Patients who received surgery alone and surgery with adjuvant radiation reported worsened function at 3 months post-treatment, but their function improved and returned to pre-treatment levels at 1 year. Patients who received definitive radiation reported worsened function only in specific domains at 3 months but had no differences at 1 year. Overall, patients with HPV+OPSCC may experience mild shoulder and neck dysfunction at 3 months after treatment, but it typically resolves in 1 year, regardless of the treatment modality used.
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