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[Reconstruction of accessory nerve defects with sternocleidomastoid muscle-great auricular nerve flap]
Chuan-Bin Guo1, Ye Zhang, Li-Dong Zou
1Department of Oral and Maxillofacial Surgery, Peking University School of Stomatology, Beijing 100081, China. guodazuo@sina.com
Objective:
To describe a new method of accessory nerve defect reconstruction with sternocleidomastoid muscle-great auricular flap.
Methods:
Thirty-four cases receiving traditional radical neck dissection were divided into two groups: single neck dissection group (n = 19) and accessory nerve reconstruction group (n = 15). Surgical procedure of the reconstruction was described in detail. Postoperative shoulder functions were compared between the two groups.
Results:
Accessory nerve reconstruction group experienced much better shoulder function recovery than that in single neck dissection group.
Conclusions:
Reconstruction of accessory nerve defects with sternocleidomastoid muscle-great auricular nerve flap is simple, effective and complication-free.
