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Spinal accessory nerve function following neck dissection.

F Zibordi1, F Baiocco, C Bascelli

  • 1Department of Otolaryngology, Predabissi Hospital, Melegnano, Italy.

The Annals of Otology, Rhinology, and Laryngology
|January 1, 1988
PubMed
Summary
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Spinal accessory nerve preservation after neck dissection shows good function, particularly in the trapezius muscle. Conservative surgical approaches are recommended for better outcomes.

Area of Science:

  • Neurosurgery
  • Oncologic Surgery
  • Clinical Electrophysiology

Background:

  • Neck dissection can risk spinal accessory nerve (SAN) damage, impacting shoulder function.
  • SAN preservation is crucial for maintaining trapezius muscle integrity and shoulder mobility.

Purpose of the Study:

  • To evaluate spinal accessory nerve (SAN) function after neck dissection with nerve preservation.
  • To compare electromyography (EMG) and muscle testing for assessing SAN function post-surgery.

Main Methods:

  • Electromyography (EMG) and muscle testing were performed on 36 patients.
  • Patients underwent neck dissection with spinal accessory nerve (SAN) preservation.

Main Results:

  • Spinal accessory nerve (SAN) function was generally good following conservative neck surgery.

Related Experiment Videos

  • Muscle testing indicated better functional outcomes than EMG findings.
  • The trapezius muscle showed more efficient function than the sternocleidomastoid (SCM) muscle post-surgery.

    • Conclusions:

    • Conservative surgical techniques in radical neck dissection can yield favorable spinal accessory nerve (SAN) function.
    • Prioritizing SAN preservation is essential for optimizing shoulder function after neck dissection.