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Related Experiment Videos

[Spinal accessory nerve and lymphatic neck dissection]

V Pinsolle1, V Michelet, C Majoufre

  • 1Service de Chirurgie Maxillo-Faciale, C.H.U. de Bordeaux.

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|October 27, 1997
PubMed
Summary
This summary is machine-generated.

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Radical neck dissection for head and neck tumors can cause significant shoulder dysfunction. Preserving the spinal accessory nerve is crucial for better functional outcomes in neck dissections.

Area of Science:

  • Oncology
  • Neurosurgery
  • Anatomy

Context:

  • Radical neck dissection (RND) was historically the standard for head and neck tumors.
  • Spinal accessory nerve preservation gained traction to improve functional results post-dissection.
  • Understanding nerve vulnerability is key to minimizing post-operative disability.

Purpose:

  • To evaluate functional disability linked to different neck dissection types.
  • To assess the utility of anatomical landmarks for spinal accessory nerve dissection.
  • To correlate nerve preservation with patient outcomes.

Summary:

  • 127 patients underwent radical, functional, or supraomohyoid neck dissection.
  • Functional disability and shoulder dysfunction were assessed via questionnaires and physical exams.

Related Experiment Videos

  • Anatomical measurements of the spinal accessory nerve were performed in 20 patients.

    • Impact:

    • Supraomohyoid, functional, and radical neck dissections resulted in 7%, 34%, and 51% severe shoulder dysfunction, respectively.
    • Radical neck dissection with nerve sacrifice can lead to significant shoulder dysfunction.
    • Dissection near the sternocleidomastoid muscle and posterior cervical triangle poses risks to the spinal accessory nerve, impacting patient function.