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Cervical metastases following radical neck dissection that preserved the spinal accessory nerve

✍ Scribed by Carenfelt, C. ;Eliasson, K.

Publisher: Wiley (John Wiley & Sons)
Year: 1980
Weight: 310 KB
Volume: 2
Category: Article
ISSN: 0148-6403
DOI: 10.1002/hed.2890020303

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✦ Synopsis

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 preserved. The results in this article serve to emphasize this opinion. Of 80 patients who underwent radical neck dissection that preserved the spinal accessory nerve, the potential for cure was not jeopardized in a single case.

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## 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