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A technique for preservation of spinal accessory nerve function in radical neck dissection

✍ Scribed by Weitz, Jean W. ;Weitz, Stephen L. ;McElhinney, A. J.

Publisher
Wiley (John Wiley & Sons)
Year
1982
Weight
374 KB
Volume
5
Category
Article
ISSN
0148-6403

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✦ Synopsis

Abstract

A new technique is described that preserves trapezius muscle function in radical neck surgery while cutting that part of the spinal accessory nerve which courses through the sternocleidomastoid muscle. The technique takes advantage of the little‐known fact that, in humans, the trapezius muscle has dual innervation. The C2‐3‐4 motor root is joined to the distal portion of the spinal accessory nerve to give motor function to the trapezius muscle. This procedure will save shoulder mobility in the majority of patients who undergo radical neck dissection. The technique is accomplished rapidly with the use of the gastrointestinal stapler in the scalene fat pad.

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✍ Carenfelt, C. ;Eliasson, K. πŸ“‚ Article πŸ“… 1980 πŸ› Wiley (John Wiley & Sons) βš– 310 KB

## Abstract In contrast to the original neck dissection technique, the spinal accessory nerve is routinely sacrificed in the so‐called classical neck dissection. The benefit of this routine has never been documented; on the contrary, facts have accumulated that indicate that the nerve should be pre