A technique to identify and preserve the spinal accessory nerve during neck dissection

Preservation of the spinal accessory nerve during neck dissection should be the rule rather than the exception. Despite the presence of many described techniques to locate the nerve, a tedious dissection is often required; as a consequence, it remains vulnerable to damage.

We describe a novel method, not previously reported, based on identifying a constant vein which crosses the nerve. This aids in the nerve's early identification.

Our method enables the surgeon to locate the nerve precisely and to avoid damage to it, thereby maximizing post-operative function.